What phase of the nursing process is the nurse performing after admitting a new patient and focusing on risk factors that could affect the health of this patient?
A) Evaluation
B) Diagnosis
C) Analysis
D) Implementation
Ans: C
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When evaluating an acutely ill pregnant female for symptoms of preeclampsia, the nurse would assess for
A) dehydration. B) seizures. C) increased serum creatinine. D) hypertension. Use the following to answer questions 8-12: a. Pregnancy-induced hypertension (PIH) b. Preeclampsia c. Eclampsia d. HELLP syndrome e. chronic hypertension
For the client discharged receiving IV fluids, the nurse should instruct the client to notify the nurse:
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Which of the following nursing interventions is likely to have the most impact on reducing fric-tion when positioning an immobile client?
1. Involving at least two personnel in the actual transfer 2. Lubricating all body parts that are in contact with the bed 3. Dressing the bed with a lift sheet to be use during the transfer 4. Thoroughly explaining the process to the client before the move
Patients treated with ACE inhibitors for heart failure need to be carefully monitored for:
1. hypernatremia. 2. hyperkalemia. 3. hypertension. 4. increasing pulmonary congestion caused by the drug.