A client with hypertension is receiving medication to lower his blood pressure. Which nursing action demonstrates the evaluation process related to medication administration?
A. Asking the client if they have adhered to the prescribed treatment
B. Determining that goals were not met 3 days following medication administration
C. Administration of IV antihypertensive agents
D. Determination of the client's baseline blood pressure
Answer: B
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The nurse is educating a client on intrauterine contraception (IUC). Which advantages of IUC will the nurse include? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. It is effective, continuous contraception. 2. It is relatively inexpensive over time. 3. It does not need to be inserted immediately prior to coitus. 4. Small amounts of estrogen are released daily. 5. It slightly increases the risk of ectopic pregnancy.
When assessing a patient, a nurse notes that the skin distal to a restraint is pale and cool to the touch. Which of the following interventions will the nurse perform first?
a. Remove the restraint. b. Loosen the restraint. c. Obtain a larger restraint. d. Reapply the restraint with more padding.
In assessing the amount of head lag in an infant, the nurse will:
a. see how long the infant can hold his or her own head up, measuring the time in seconds b. pull the infant up by the arms from a supine to a sitting position c. measure the distance from the baby's fingertips to the ear d. hold the baby upright in the nurse's lap and let the head fall back against the nurse's chest
A subdimension of Swanson's process of caring, Knowing, involves which of the following?
A) sharing feelings with the patient B) performing thorough assessments C) focusing on the patient's experiences D) offering realistic optimism