Which of the following can the nurse use to measure a home care patient's level of independence?
a. Nursing Interventions Classification c. OASIS data set
b. NANDA nursing diagnosis d. KATZ Index
D
The nurse who is admitting a Medicare beneficiary to home health care will record activities of daily living on the OASIS data set. Nurses may also use the KATZ Index of Independence in ADLs. The index measures the patient's level of independence in bathing, dressing, toileting, transferring, continence, and feeding.
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A patient's respiratory quotient is measured to be 1.1. How would the nurse interpret this information?
1. A vitamin deficiency is present. 2. The patient has the potential to retain carbon dioxide. 3. The client is not receiving enough calories. 4. The patient has fluid overload. 5. The patient is receiving too much carbohydrate.
Ms. Jones is a 31-year-old female patient who presents for a routine physical examination. Which examination technique will be used first?
a. Light palpation b. Deep palpation c. Percussion d. Inspection
How would the nurse differentiate between the two types of second-degree heart block?
1. Assess the QT interval. 2. Assess the ventricular rate. 3. Assess PR intervals. 4. Assess the configuration of the P wave.
A system of standards or moral principles that direct actions as being right or wrong is called ____________________
Fill in the blank with the correct word.