The nurse is documenting on a client's medical record. This documentation should include the:

a. name of the physician. c. client's opinion of the meals.
b. name of the client's spouse. d. data to support problems and diagnoses.


ANS: D

Nursing

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A child with hemophilia plans on participating in a bicycling club. Which recommendation should the nurse give to the child?

1. Wear kneepads, elbow pads, and a helmet while bicycling. 2. Consider a swim club instead of the bicycling club. 3. Do not join the club. 4. Participate only in the social activities of the club.

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An older adult client with heart disease tells the nurse, "I am sick because I sinned by smoking cigarettes." Which response by the nurse is appropriate?

A) "Smoking cigarettes isn't a sin. There are many worse habits you could have." B) "Cigarette smoking was desirable when you began smoking. We didn't know about the problems it could cause." C) "Why don't we call the hospital chaplain and you can pray about your sins?" D) "You are correct, but it is too late to do anything about it now."

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The nurse has instructed a client on the self-administration of oral iron tablets. Which client statement indicates the need for further clarification?

1. "I should take this medication with meals, along with a big glass of milk." 2. "If I get constipated while I am taking this drug, I need to talk to my provider." 3. "I will have blood drawn after 3 or 4 weeks to see if this drug is improving my red blood cell count." 4. "The medicine will help my body build red blood cells."

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The nurse is concerned about pulmonary aspiration when providing her patient with tube feedings. The nurse should

a. Verify tube placement before feeding. b. Lower the head of the bed to a supine position. c. Add blue food coloring to the enteral formula. d. Run the formula over 12 hours to decrease volume.

Nursing