Which is the abbreviation to use when documenting the administration of medication by mouth?
A. SL
B. PO
C. Buc
D. R
Answer: B
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There are specific legal guidelines and regulations for the documentation related to home care. When providing care for a patient who is a Medicaid recipient, what is most important for the nurse to document?
A) The medical diagnosis and the supplies needed to care for the patient B) A summary of the patient's income tax paid during the previous year C) The specific quality of nursing care that is needed D) The patient's homebound status and the specific need for skilled nursing care
The nurse recognizes the client's death is impending when which assessment finding is noted?
1. Extremities appear mottled and cyanotic 2. Client requests a meeting with spiritual counselor 3. Heart rate and blood pressure increases 4. Increased appetite
An elderly female patient has presented to the emergency department with altered mental status, hypothermia, and clinical signs of heart failure. Myxedema is suspected. Which of the following laboratory findings support this diagnosis?
a. Elevated adrenocorticotropic hormone b. Elevated cortisol levels c. Elevated T3 and T4 d. Elevated thyroid-stimulating hormone
A 48-year-old man who has just been started on tube feedings of full-strength formula at 100 mL/hr has 6 diarrhea stools the first day. Which action should the nurse plan to take?
a. Slow the infusion rate of the tube feeding. b. Check gastric residual volumes more frequently. c. Change the enteral feeding system and formula every 8 hours. d. Discontinue administration of water through the feeding tube.