According to Erickson, Tomlin, and Swain, the ______ process involves an assessment of a client's situation
A. Nursing
B. Modeling
C. Remodeling
D. Building
ANS: B
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A client with dehydration is being weighed on a standing scale next to the bed. The most important action by the nurse is to
a. assist the client to prevent falls. b. calibrate the scale per manufacturer's directions. c. document the weight and compare it with prior ones. d. explain to the client what is going to happen.
The nurse is performing hygienic care for a comatose patient. Which action is not correct?
a. Clean the eyes by washing from the inner canthus to the outer canthus. b. Turn the head to the side when flossing and brushing the teeth. c. Following mouth care, immediately turn the patient to a prone position. d. Keep the patient's mouth open with a padded tongue blade.
The patient receives amlodipine (Norvasc) for treatment of angina. What is a primary assessment for the nurse?
1. A sudden weight loss of 5 pounds or more 2. Hypokalemia and hypernatremia 3. Marked increase in international normalized ration (INR) levels 4. A sudden weight gain of 2 pounds or more
Evaluation
What will be an ideal response?