When evaluating the client's progress toward goal achievement, the nurse should ask which of the following questions?
a. "Did the client tell the truth?"
b. "Were the goals realistic?"
c. "Did the physician diagnose the client's condition correctly?"
d. "Was the length of stay too short?"
ANS: B
The goals need to be realistic and achievable in the time frame allotted for the interventions to be effective. Validation of information occurs in the assessment phase. Medical diagnosis is not part of the nursing process. The nurse needs to work within the time frame allotted.
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Which of the following are classified as sudoriferous glands? (Select all that apply.)
a. Apocrine glands b. Eccrine glands c. Sebaceous glands d. Ceruminous glands e. Melanocytes
A nurse has identified substance abuse in an adolescent. In addition to a treatment center referral, what other referral is most important?
A. Counseling for parents B. Law enforcement C. Mental health provider D. Social services agencies
Nightingale believed that:
A) Schools of nursing should be independent of hospital control. B) Schools of nursing should be linked to medical schools. C) Nursing courses should be taught by physicians. D) Schools of nursing should be established within hospitals.
The nurse is caring for a client who had undergone a Whipple procedure 2 days previously. The nurse notes that the client's hands and feet are edematous, and urine output has decreased from the previous day
Which intervention does the nurse expect to provide for the client? a. Increase the client's IV fluid infusion rate. b. Monitor the client's blood sugar level every 4 hours. c. Add colloids to the client's IV solutions. d. Reinsert the client's nasogastric (NG) tube.