When making observations, you should note the
A. patient, the environment, and the other staff.
B. physician's orders.
C. patient, response to treatment, and environment.
D. normal adult values only.
Answer: C
You might also like to view...
For which patient might the nurse use the nursing diagnosis of Risk for Ineffective Renal Tissue Perfusion?
a. Patient with hypertension who is noncompliant with medication administration b. Patient with angina who takes nitroglycerine when experiencing chest pain c. Patient diagnosed with pneumonia, becoming short of breath with activity d. Patient with a hemorrhagic stroke secondary to head trauma
The nurse is trying to improve the nutritional status of residents in the nursing home. Which recommendations should the nurse implement?
a. Develop a seating chart for the main din-ing room based on the unit to facilitate a more organized and efficient meal deli-very. b. Replace the fluorescent lighting with can-dles at every table to create a cozy, res-taurant-like atmosphere. c. Provide nutritious food according to the residents' expressed food preferences with a liberal use of seasonings that do not ex-ceed any sodium restrictions. d. Distribute "med-pass" nutritional supple-ments.
An older adult female has been given instructions concerning an endocrine assessment the nurse will be conducting. Which statement by the patient would indicate that further instruction is necessary?
1. "Because I am already past menopause, there will be no need for a breast exam in this assessment.". 2. "The nurse will look at my skin, nails, and hair." 3. "I'll be sure to let the nurse know that diabetes runs in my family." 4. "The nurse will palpate my throat in the front."
When reviewing the literature for systems theories, the nurse comes across several specific theories
Which of the following systems theories discusses the purpose of nursing being able to help people attain, maintain, or restore health, primarily by mutual goal setting? A) Dorothea Orem's Self-Care Deficit Theory B) Betty Neuman's Health Care Systems Model C) Jean Watson's Human Science and Human Care Theory D) Imogene King's Systems Interaction Model (Theory of Goal Attainment)