In relation to documentation, The Joint Commission's standards require
a. a traditional nursing care plan
b. documentation of all steps of the nursing process
c. interdisciplinary planning and implementation of all aspects of care
d. client signature on nursing records
C
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The nurse is providing discharge instructions to a client going home with a T tube after an open cholecystectomy. Goals for teaching have been met when the client says
a. "For drainage that is thick with mucus or blood, I can irrigate the T tube." b. "I will need to milk the tube every 4 hours and record the drainage." c. "The tube can be used to administer stone dissolving medications" d. "This tube will stay in for 1-2 weeks and I should watch for diminishing drai-nage."
If you have an epinephrine concentration of 0.1 mg/mL, how many milligrams would be present in 5 mL?
A. 0.005 mg B. 0.5 mg C. 5 mg D. 0.05 mg
A.T. eventually masters the pouch application and is discharged to home. She returns to the urology
clinic in 1 month for a follow-up visit. She has lost 8 pounds and is seen with a smaller stoma which is surrounded by a crusty material and reddened skin. A.T. asks you if it is normal for the stoma to shrink, and what can be done about the crusty material around the stoma. How will you answer A.T.'s questions?
A patient who is being admitted to the emergency department with intermittent chest pain gives the following list of medications to the nurse. Which medication has the most immediate implications for the patient's care?
a. Sildenafil (Viagra) b. Furosemide (Lasix) c. Captopril (Capoten) d. Warfarin (Coumadin)