A 42 year-old postoperative patient reports falling in the bathroom. The incident report the nurse files needs to include Standard Text: Select all that apply
1. Client name, and hospital or identification number
2. Date, time, place of incident
3. Conclusions based on client's report
4. Identify witness to the incident
5. Ask charge nurse to fill out report
1,2,4
Rationale 1: Client name, hospital or identification number, initials
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When the eye adjusts to seeing objects at various distances, it is called
a. PERRLA. b. refraction. c. focusing. d. accommodation.
The director of nursing is identifying roles and responsibilities of nurse practitioners hired to provide community health care. In which order should the director review the ANA standards of practice for these care providers?
1. Planning 2. Diagnosis 3. Evaluation 4. Assessment 5. Consultation 6. Implementation 7. Coordination of care 8. Outcomes identification 9. Prescriptive authority and treatment 10. Health teaching and health promotion
Which of the following factors influences the focus of the initial history when assessing a new client with a musculoskeletal problem?
A) Client's age B) Client's lifestyle C) Any chronic disorder or recent injury D) Duration and location of discomfort or pain
The nurse is caring for a patient with a history of chronic respiratory problems who has an abdominal binder in place. Which should the nurse instruct nursing assistive personnel (NAP) to report as an unexpected outcome?
a. The skin around the binder is dry without redness or edema. b. The patient experiences difficulty moving around in bed. c. The patient's pain level has changed from 8 to 6 on a scale of 1 to 10. d. The respiratory rate has decreased from 17 to 15 breaths per minute.