When the nurse engages in activities that involve potential problems or complications that are medical in origin, what is the primary nursing focus?
A) Giving discharge instructions
B) Performing initial shift assessments
C) Observing family dynamics
D) Monitoring patients for complications
Ans: D
Feedback: When treating collaborative problems, a primary nursing focus is monitoring patients for the onset of complications or changes in the status of existing complications. The primary nursing focus is not discharge instructions, shift assessments, or family dynamics.
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Which statement is true regarding the quality assurance or incident report?
a. Reports are a permanent part of the patient's chart. b. The report assures the legal department that there is no problem. c. The nurse's notes should contain this statement: "Incident report filed and copy placed in chart." d. This report is a form of documentation of an event that may result in legal action.
The nurse is caring for an adolescent male with gynecomastia. What groups of drugs can induce gynecomastia in male adolescents? (Select all that apply.)
a. Oral antibiotics b. Oral ketoconazoles c. Calcium channel blockers d. Histamine-2 receptor blockers e. Cancer chemotherapeutic agents
Which of the following nursing actions provides the greatest assistance in healing?
A) Maintaining a restful environment B) Providing solid food in the first day C) Allowing family members to visit often D) Keeping the client recumbent
Which would the nurse consider as normal during a newborn assessment? Select all that apply
1. Swelling over the occiput that crosses suture lines 2. Tiny white papules located primarily on the nose and chin 3. Tiny red macules and pustules that come and go, primarily on the trunk and extremities 4. When the Moro reflex is elicited, the right arm extends and returns to the body. The left arm remains resting against the chest. 5. Greenish discoloration of skin over the entire body that is not removed by the initial bath