A nurse sees the patient grimace and documents that the patient is in pain, without interviewing the patient to obtain further cues. The nurse has
A) Impaired cluster interpretation
B) A lack of cues or premature closure
C) Ineffective database
D) Inaccurate evaluation
Ans: B
You might also like to view...
Infants receive approximately 50% of their calories from ____________, even though breast milk contains more ________________ by weight
Fill in the blank with the appropriate word.
After an assessment, the nurse determines that a client's sequential compression devices need to be removed. What will the nurse document about this client's status in the medical record?
1. Client ambulating without assistance. 2. Client complains of numbness, tingling, and leg pain with the sequential compression devices. 3. Client requested devices to be removed. 4. Client to wear sequential compression devices during sleep.
After emptying a catheter bag, wipe the drainage spout with an alcohol sponge if accidental contamination occurs
Indicate whether the statement is true or false
The history of present illness includes which of the following:
A. Unique concerns that explain the prevention needed B. Presence or absence of health-related issues C. Chronologic ordering of events D. General health and strength