The nurse notes that the client is not eating most of the food on his tray
The nurse reasons that the cause of the inadequate intake could be cultural differences causing him to dislike the food he is served; excessive portions; depression or anxiety; or irritated mucous membranes in his mouth from the treatment he is receiving. This part of the decision-making progress is identified as: 1. Goal setting.
2. Data collection.
3. Exploring options.
4. Troubleshooting.
3
Rationale 1: Answer option 3 is correct because the nurse has evaluated the client's intake, and is seeking alternatives to determine the cause of the problem. The nurse has not yet set any new goals for the client, and has not determined the criteria for evaluating the client's intake (options 2 and 3). The nurse is not troubleshooting the problem or the solution, but is gathering information about what is known about the client to suggest another option to solve the problem (option 4).
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A parent asks the nurse how she would know whether her child has fifth disease. The nurse would advise the parent to be alert for which manifestation?
a. Bull's-eye rash at the site of a tick bite b. Lesions in various stages of development on the trunk c. Maculopapular rash on the trunk that lasts for 2 days d. Bright red rash on the cheeks that looks like slapped cheeks
The most-often used framework of quality criteria is that of Lincoln and Guba. How many criteria are identified for evaluating trustworthiness of the inquiry?
A) 2 B) 3 C) 4 D) 5
A nurse plans interventions to promote wellness in older adults. Which of the following interventions is most appropriate to meet this goal?
A) Talking with the physician about available treatment options for an older adult with an acute illness B) Facilitating early mobilization to prevent muscle wasting and loss of function in an older hospital client C) Deferring the final decision regarding an older adult's choice of assisted living facility to the person's son and daughter D) Placing a 76-year-old on the waitlist for a kidney transplant
The nurse is caring for a patient who has received epoetin alfa (Epogen) 2 to 3 weeks prior to a scheduled surgery. Which statement best explains the goal for Epogen administration prior to surgery?
a. The patient will only require a single anti-biotic immediately prior to surgery. b. The patient will have greater numbers of white blood cells (WBCs) following sur-gery. c. The patient will not require a blood trans-fusion during surgery. d. The patient will maintain stable potassium levels during surgery.