What is the major advantage of using Maslow's hierarchy of needs when planning nursing care for patients?
a. Establishes a nursing diagnosis
b. Improves problem-solving techniques
c. Prioritizes patient care
d. Establishes priorities of care
C
Priorities for nursing care can be based on the level of human needs; physical needs take priority over security needs.
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ANS: C Capillary refill should take fewer than 3 seconds
xa. 1 second b. 2 seconds c. 3 seconds d. 4 seconds
A female patient reports an increase of involuntary loss of urine with sneezing and coughing. Her past medical history reveals uterine cancer, an abdominal hysterectomy, and radiation therapy
What type of incontinence is she most likely experiencing? a. stress incontinence c. overflow incontinence b. urge incontinence d. functional incontinence
Which actions should the nurse include in a care plan to effectively assist the patient with a total laryngectomy to maintain airway clearance? (Select all that apply.)
a. Turning, coughing, and deep breathing b. Placing the patient in a semi-Fowler posi-tion c. Maintaining hydration d. Attaching a tracheostomy collar e. Providing a method to communicate
The registered nurse has delegated client care tasks to unlicensed assistive personnel. Who has accountability for the care of the client?
a. The physician b. The client c. The person to whom the tasks were delegated d. The nurse who delegated the care