Whether a nurse's plan of care for a community is acceptable is probably determined by what aspect of the plan?
A. It was created in coordination with community members.
B. It was financially feasible.
C. It was politically correct and feasible.
D. It was something in which the nurse really believes.
ANS: A
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A family actively participates in school functions with all their children, one of whom is paraplegic, and requires a wheelchair for mobility. The nurse evaluates this family to be working on the process of:
1. Stagnation. 2. Normalization. 3. Isolation. 4. Interaction.
A client tells the nurse that she wants her physician to prescribe diazepam (Valium) for anxiety
reduction. The physician has prescribed buspirone (BuSpar). The nurse's reply should be based on the knowledge that buspirone a. can be administered prn. b. does not predispose the client to blood dyscrasias. c. is not habituating. d. is faster acting.
For which of the following wounds may dressing changes be delegated to a trained nursing assistant?
1. stage II sacral decubitus without exudate, present for 3 weeks 2. surgical incision 24 hours status post–laparoscopic cholecystectomy without a Jackson-Pratt drain 3. surgical incision 72 hours status post–laparoscopic cholecystectomy with a Jackson-Pratt drain 4. tunneling stage III sacral wound
A young adult arrives in the after-hours clinic with euphoria, dilated pupils, an elevated heart rate, and fine tremors of the hands. The patient admits to recent use of an illegal street drug. As the nurse collecting this data, you suspect:
A) LSD B) "Crack" cocaine C) Amphetamines D) Downers