The nurse is engaging in the evaluation step of the nursing process. During this step, the nurse will:
a. bring closure to the nursing process.
b. measure a client's progress toward achievement of expected outcomes.
c. delegate care responsibilities.
d. plan for a client's discharge.
ANS: B
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An obese adolescent who adamantly denies sexual activity has a positive pregnancy test. Which of the following statements would be most appropriate for the nurse to make to this adolescent?
1. "Tell me how you feel about your body image." 2. "When was your last menstrual period (LMP)?" 3. "Let's discuss some activities that you have done within the past few months that could possibly lead to pregnancy." 4. "Why are you denying sexual intercourse?"
The nursing instructor asks the students to demonstrate proper hand-washing techniques, as established by the guidelines of the Centers for Disease Control and Prevention (CDC)
Which technique, used by one of the students, indicates a need for further teaching? a. The student cleanses hand with warm water and antimicrobial soap after cleaning a bedpan. b. The student cleanses hands with hand gel after giving a patient a glass of water. c. The student cleanses visibly dirty hands with an alcohol-based hand rub. d. The student cleanses hands with an alcohol-based hand rub prior to obtaining a blood pressure.
A woman complains of breast engorgement before her menses each month. This is caused by:
A) Dilation of blood vessels after ovulation. B) An increase in number and size of lobules to prepare breast for lactation. C) Elongation of the excretory ducts, causing development of tributaries. D) All of the above.
A nurse manager is aware of the importance of safety on the unit and takes measures to protect and promote the safety of clients, families, and employees alike. In order to meet this goal, the manager should:
A) aim to provide a private room for as many clients as possible. B) keep medication cart locked when they are not in use. C) allow clients to participate in the planning of their care. D) ensure that each caregiver has an assigned "buddy."