When the nurse cleanses the client's leg during a bed bath, it will allow for
A) Assessment of pain
B) Increased circulation
C) Decreased restless leg syndrome
D) Promotion of social interaction
Ans: B
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An IV is infusing at 16 gtt/min. The drop factor is 15 gtt/mL. In 4 hours, the client will have received _______________
a. 68 mL b. 170 mL c. 500 mL d. 256 mL
The nurse makes a visit to the home of an adolescent recently discharged from the hospital for a seizure disorder. Which observations indicate that outcomes for care have been achieved?
Select all that apply. A) The client is not driving. B) The client has not had a seizure for 1 month. C) The client is participating in the school basketball team. D) The client has bruises on both arms from seizure activity. E) The client has several episodes of constipation each week.
While working a night shift and caring for a patient with a 24-hour urine collection that was started at 3:00 p.m., a nursing assistant spills the container. The nurse should
1. Cancel the test and reschedule it for 3:00 p.m. the next day. 2. Document the amount of urine that was spilled. 3. Restart the test the next time the patient voids. 4. Notify the physician.
When describing the characteristics associated with borderline personality disorder (BPD), which of the following would a nurse most likely include? Select all that apply
A) Difficulty regulating moods B) Overinflated self-identity C) Problems with interpersonal relationships D) Thinking that is based on delusions E) Impulsive behavior