What is the purpose of the color-coded wedges on the Intervention Wheel?
a. The interventions are grouped together in related wedges.
b. The wedges consist of referral information for each wedge.
c. The element of health teaching is the predominant feature of each wedge.
d. Coalition building must be implemented with each wedge.
A
Each wedge consists of related interventions. The other answers describe some of the individual wedges.
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Order: Heparin sodium 8000 units subcutaneously q.12h. The label on the vial reads "10,000 units/mL." How many milliliters will you administer?
1. 1.25 mL 2. 0.8 mL 3. 8 mL 4. 0.125 mL
A client who works in a day care facility is admitted to the emergency department. The client is diagnosed with pneumonia, and a sputum culture is taken. Infection with Streptococcus pneumo-niae is confirmed. What is the nurse's primary action?
a. Have emergency intubation equipment nearby. b. Teach the client about the treatment. c. Isolate the client. d. Perform chest physiotherapy.
A client's total cholesterol level is 344 mg/dL, low-density lipoprotein cholesterol (LDL-C) level is 164 mg/dL, and high-density lipoprotein cholesterol (HDL-C) level is 30 mg/dL
Based on analysis of the data, how should the nurse direct client teaching? 1. The client should maintain the current dietary regimen but increase activity levels. 2. Results are inconclusive unless the triglyceride level is also screened, so teaching is not indicated at this time. 3. The client is at high risk for cardiovascular disease, and measures to modify all identified risk factors should be taught. 4. The client is at low risk for cardiovascular disease, so the client should be encouraged to continue to follow the current regimen.
When documenting a comprehensive assessment, which statement would the nurse record as the reason for seeking health care?
A) "I try not to let the pain affect my life." B) "I haven't had a checkup in over 5 years." C) "I had my appendix removed when I was 14 years old" D) "I have an aunt who had breast cancer."