The nurse follows guidelines set out by OBRA when documenting a summary including vital signs and weights, which is required every:
a. day.
b. week.
c. month.
d. year.
C
A summary, including vital signs and weights, is only required on a monthly basis.
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While conducting a physical assessment, you note that the patient's breathing is rapid and shallow. This type of breathing pattern is known as
a. hyperventilation. c. obstructive breathing. b. tachypnea. d. bradypnea.
The nurse is giving home care instructions to a patient who just had a cataract removed and an intraocular lens implanted. What information should the nurse provide to the patient?
A) Don't sleep on the operated side. B) Wear the eye shield continuously for 2 weeks. C) Aspirin may be taken for mild pain. D) Straining during bowel movements is allowed.
LPN/LVN licensure by endorsement in the United States and its territories is possible because
a. English is the spoken language of each locale. b. the NCLEX-PN examination is used by the board of nursing of each locale. c. computer-adaptive testing maximizes testing efficiency. d. the NCLEX-PN examination test plan reflects current practice.
A client is receiving opioid analgesia for pain control. The nurse is assessing the client for possible respiratory depression. Which method would be most reliable for the nurse to use to identify impending respiratory depression?
A) End tidal CO2 B) Pulse oximetry C) Respiratory rate D) Lung sounds