In providing nursing care, it is most important to perform which of the following actions?
A) Administration of prescribed medications
B) Implementation of physician's orders
C) Evaluation of client's responses
D) Coordination of care with the health care team
Ans: D
Nurses have moved from simply observing and giving prescribed medications to coordinating clinical information for the entire health care team.
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A patient was involved in a motor vehicle accident and underwent a loop colostomy. The patient questions the nurse about what is draining out of each side of the colostomy. What is the nurse's best response?
a. "There is stool draining out of both sides." b. "Stool is draining out the stomach side and mucus is draining from the rectum side." c. "There is mucus and stool draining from both sides." d. "There is stool draining out of the stomach side and nothing draining out of the rectum side."
The population health nurse is aware of many young couples with children purchasing and renovating older community homes. What prevention measure should the nurse implement to ensure the safety of these families?
1. Screen all members for lead levels. 2. Monitor lead levels in the family members. 3. Encourage the safe removal of lead-based paint in the homes. 4. Institute chelating measures for lead removal in the family members.
Two days after having coronary bypass grafting, a patient develops atrial fibrillation. The patient is tolerating the rhythm. What is the nurse's initial action?
1. Have the patient cough. 2. Do an electrocardiogram (ECG). 3. Increase the patient's IV rate. 4. Notify the health care provider.
Which of the following clinical questions best exemplifies the PICOT format?
A) What effect does parents' smoking have on the smoking habits of their children, ages 13 to 16? B) Among cancer patients, what role does meditation, rather than benzodiazepines, have on anxiety levels during the 7 days following hospital admission? C) Among undergraduate college students, what is the effectiveness of a sexual health campaign undertaken during the first 4 weeks of the fall semester as measured by incidence of new gonorrheal and chlamydial infections reported to the campus medical center? D) In patients aged 8 to 12, is the effectiveness of a pain scale using faces superior to a numeric rating scale in the emergency room context?