The client states: "I really don't want anyone to visit me who has not been OK'd with me first." If utilizing SOAP format, this statement would be documented under which category?
A)
Subjective data
B)
Assessment
C)
Planning
D)
Objective data
A
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The nurse caring for a client with terminal cancer assesses that the pain is not adequately controlled with a low-dose opioid and ibuprofen
The nurse notifies the physician and anticipates that the physician will do which of the following based on the World Health Organization's three-step ladder approach to pain? 1. The physician will increase the dosage of the opioid. 2. The physician will change to a stronger opioid. 3. The physician will increase the dosage of the nonopioid medication. 4. The physician will change to a stronger nonopioid medication.
A team leader is preparing to type the evening shift report. Which comment should be included in the report?
a. Patient A complained of a headache until his wife arrived to visit. She was 20 mi-nutes late because of unavoidable traffic. b. Patient B ate everything on her dinner tray—roast beef, mashed potatoes, and green beans—and the dessert, too, which is her usual pattern. c. Patient C was so restless that the dressing on her sacrum came off and had to be re-placed. No change occurred in the as-sessment of the decubitus. d. Patient D had her usual visitors. She is sleeping after her regular evening medica-tions, which were given as ordered at 2000.
The client's weight is appropriate for his height. His laboratory values and other assessments reflect normal nutritional status. However, he has told the nurse, "I probably eat a little too much red meat
And what is this I hear about needing omega 3 oils in my diet? I don't like to take supplements, and I think I could really improve my nutrition." Which of the following nursing diagnoses should the nurse use? a. Balanced Nutrition b. Possible Imbalanced Nutrition: Less Than Body Requirements c. Risk for Imbalanced Nutrition: Less Than Body Requirements d. Readiness for Enhanced Nutrition
The nurse is assigned to collect data from a Hispanic-American client during the hospital admission. When meeting the client, the nurse should plan to do which of the following?
1. Avoid touching the client. 2. Greet the client with a handshake. 3. Smile and use humor throughout the entire admission process. 4. Avoid any affirmative nods during the conversations with the client.