The nurse is evaluating the need to refer a patient with osteoarthritis for a home care visit to be sure the patient can function in accomplishing daily activities independently. What is the nurse's first priority?
a. Determine if the patient has had home visits before and if the experience was positive.
b. Check the patient's ability to bathe without any assistance the next day.
c. Have the patient demonstrate the learned skills at the end of the teaching session.
d. Arrange a physical therapy visit before the patient is discharged from the hospital.
ANS: A
To begin the assessment of adherence, it is first important to clarify with the patient (a) their beliefs and perceptions about their health risk status, (b) their existing knowledge about cardiovascular disease risk reduction, (c) any prior experience with health care professionals, and (d) their degree of confidence with controlling the disease. The other actions allow evaluation of the patient's short-term response to teaching.
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The nurse is caring for a newborn who has just been circumcised. The nurse alters the care plan to include:
a. administration of a topical anesthetic to the site. b. application of ice to stop bleeding. c. retraction of any remaining foreskin. d. observation for bleeding for the first 12 hours.
The plan of care for a patient with a STEMI, treated in a non-percutaneous coronary intervention capable (PCI) hospital, includes:
A) evaluation in the cardiac catheterization lab within 90 minutes of non-PCI hospital arrival. B) transfer to a PCI-capable hospital within 3 hours. C) fibrinolytic therapy if transfer causes a delay of more than 120 minutes for door to balloon. D) stabilizing patient for 24 hours, then transferring to a PCI-capable hospital.
The nurse is caring for a patient who just received a diagnosis of a seizure disorder. What supplies should the nurse gather to have at the bedside? (Select all that apply.)
a. A suction device with catheters b. Extra pillows to pad the bed c. A padded tongue blade d. Oxygen source and nasal cannula
Sex is:
a. The physical activities involving reproduc-tive organs b. The physical, emotional, social, cultural, and spiritual factors that affect feelings and attitudes about sex c. Who a person is attracted to d. Preferred sexual practices