Assessment reveals that a client has slight weakness with active range of motion against some resistance. The nurse would document this as which of the following?
A) 2/5
B) 3/5
C) 4/5
D) 5/5
C
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The nurse is assessing a client for chronic osteomyelitis. Which features distinguish this from the acute form of the disease? (Select all that apply.)
a. Draining sinus tracts b. High fevers c. Presence of foot ulcers d. Swelling and redness e. Tenderness or pain
A client is admitted to the in-patient unit in the withdrawn phase of catatonic schizophrenia. He is
completely stuporous. While giving care to the client, the nurse must a. explain care activities in simple, explicit terms as though expecting a response. b. maintain a quiet, nonstimulating atmosphere, speaking as little as possible to the client. c. provide high levels of sensory stimulation by using conversation, the radio, and television. d. address negativism by asking the client to do exactly the opposite of what is desired.
A nurse instructs the family of a boy with hypogonadism. When the parents ask how long the child must receive testosterone injections, what should the nurse's response be?
a. "For life." b. "For 6 to 12 months." c. "For 3 to 4 years." d. "One injection is usually all that is required."
The nursing diagnosis represents the part of nursing practice that the nurse is licensed to address independently
Indicate whether the statement is true or false