A nurse is providing in-service training to a group of nurses in a facility that has just begun to use an integrated cued checklist for documentation. Which of the following would the nurse include as the purpose of this type of documentation?
A) It helps cluster data
B) It provides lines for comments.
C) It includes specialized data
D) It standardizes data collection.
A
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Which of the following would be the priority nursing diagnosis during the acute phase of burn injury for a child who has a third-degree circumferential burn of the right arm?
1. Infection, risk for 2. Altered Tissue Perfusion, risk for 3. Altered Nutrition: Less Than Body Requirements, risk for 4. Impaired Physical Mobility
Which client is at greatest risk for respiratory complications after surgery under general anesthesia?
A. 65-year-old woman taking a calcium channel blocker for hypertension B. 55-year-old man with chronic allergic rhinitis C. 45-year-old woman with diabetes mellitus type 1 D. 35-year-old man who smokes two packs of cigarettes daily
Which statement best reflects a myth that may interfere with the treatment of pain in infants and children?
a. Infants may have sleep difficulties after a painful event. b. Children and infants are more susceptible to respiratory depression from narcotics. c. Pain in children is multidimensional and subjective. d. A child's cognitive level does not influence the pain experience.
Which should the nurse recognize as an example of localized amnesia?
A. A client cannot relate any lifetime memories, including personal identity. B. A client can relate family memories but has no recollection of a particular brother. C. A client cannot remember events surrounding a fatal car accident. D. A client whose home was destroyed by a tornado only remembers waking up in the hospital.