The nurse is performing a dependent nursing action for a client. Which of the following is considered as being a dependent nursing action for most nurses?
a. Assisting a client with ambulation
b. Discharge planning
c. Positioning the client
d. Starting an intravenous infusion
ANS: D
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A patient with a new ileostomy is preparing to go home. What should the patient be taught about changing their ileostomy?
A) Apply moisturizing lotion after cleaning the stoma. B) Apply a skin barrier to the peristomal skin prior to applying the pouch. C) Dispose of the clamp with each bag change. D) Cleanse the area surrounding the stoma with alcohol.
The nurse has instructed an older client on the modified MyPlate and caloric intake. Which client response best indicates that instruction has been effective?
1. "I have to drink six cups of milk every day to get enough vitamin D in my diet." 2. "Eating the lowest daily recommended value provides adequate calories each day." 3. "I will get enough B vitamins as long as I eat the recommended amount of vegetables." 4. "Taking daily protein powder supplements is a good alternative to eating meat."
Which of the following should the nurse instruct a client diagnosed with type 2 diabetes mellitus regarding vision care? (Select all that apply.)
1. Maintain good glucose control. 2. Stop smoking. 3. Limit exercise. 4. Reduce reading. 5. Frequently rest the eyes. 6. Rub eyes daily.
Capnography is the only indicator of correct placement of an endotracheal tube (ETT) in the trachea
Indicate whether this statement is true or false.