Which are acceptable secondary sources for data? (Select all that apply.)
a. Patient
b. Family members
c. Other health professionals
d. Diagnostic reports
e. Textbooks
B, C, D, E
A patient is not a secondary source. The patient is the primary data source.
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The nurse is caring for a mechanically ventilated patient following bilateral lung transplantation. When planning the care of this patient, what is the priority nursing intervention?
a. Thirty-degree elevation of head of bed b. Endotracheal suctioning as needed c. Frequent side to side repositioning d. Sequential compression stockings
The sibling of a patient who is nearing death has insisted on intravenous fluids because "My brother wants to live." Which findings should the nurse expect when assessing this patient?
Select all that apply. 1. The nurse notes the presence of inspiratory and expiratory crackles in all lung fields. 2. The nurse notes that there is increasing edema in the patient's ankles and feet bilaterally. 3. The patient has developed ascites. 4. The patient has lost 6 pounds from last week. 5. The nurse learns during shift report that the patient vomited three times during the night shift.
A patient is diagnosed with a corneal abrasion. What should the nurse instruct this patient?
1. Do not share or use another person's eye makeup. 2. Only share a towel with family members. 3. Gently rub the eyes when itchy. 4. Use the prescribed eye drops until the symptoms disappear.
Which nursing organizations are responsible for providing continuing education, establishing practice standards, and offering certification examinations for their members?
a. Councils of nurse educators b. National specialty organizations c. State boards of nursing d. State nurses associations