The nurse reviews a nursing order for a patient who is 4 days post-operative after hip surgery. It reads:
Assist patient in bathing each morning. The nurse assesses the patient and notes that the patient is independent in bathing. What should the nurse do next?
a. Assist with the bath as ordered
b. Delegate the bath to the nursing assistant
c. Discontinue the nursing order on the plan of care
d. Collaborate with the nurse who originally wrote the order
C
After assessing and evaluating patient progress, the nurse will use her conclusions about goal achievement to decide whether to continue, modify, or discontinue the nursing order on the plan of care. In this item, the nurse has assessed patient independence and therefore can discontinue this nursing order from the plan of care.
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Which of the following programs are often available to mentally ill clients in community treatment settings? Standard Text: Select all that apply
1. Group homes 2. Halfway houses 3. Sheltered workshops 4. Day treatment centers 5. Adult day care centers
The patient admitted with aortic stenosis is prone to angina and syncopal episodes due to
A) alteration in tissue perfusion. B) ventricular arrhythmias. C) severe orthostatic hypotension. D) diminished cardiac output.
The nurse recognized which of the following as symptoms of wet age-related macular degenera-tion (AMD)? (Select all that apply.)
a. Rarely causes severe visual impairment b. Yellow deposits under the retina c. Decrease in central vision d. Visual distortion
You are one of the nurses monitoring the dining room during dinner. A male patient who has schizophrenia asks a table mate to "please pass the pepper." When the table mate does so, the first patient throws the pepper shaker at you
He or she screams, "Now look what you've done! There are spiders all over my food! I can't eat this! Get the spiders out of there!" Your best response is: A. "Those aren't spiders; that is the pepper you asked for!" B. "I don't see any spiders. Let's go to the game room for a little while before you try eating again." C. "Where are the spiders? I am also afraid of them!" D. "It is inappropriate for you to throw things; you need to go to the locked unit now."