A client has a nursing diagnosis of Activity Intolerance. An appropriate goal for this client would be:
1. Avoid complications associated with immobility
2. Avoid injury from improper use of body mechanics
3. Increase tolerance for physical activity
4. Ambulate client with walker twice a day
3
Rationale: This goal may or may not be appropriate for this client; the information does not support a nursing diagnosis of Impaired Physical Mobility
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Which nursing interventions are primary in the care of a client receiving internal sealed radiation? Select all that apply
A) Time, distance, and shielding B) Count wires/threads every shift. C) Maintain ink markings on the skin. D) Administer treatments through the intravenous port. E) Provide rest periods between treatments. F) Encourage family involvement in direct care.
The physician has ordered a fluid deprivation test for a patient suspected of having diabetes insipidus. During the test, the nurse should prioritize what assessments?
A) Temperature and oxygen saturation B) Heart rate and BP C) Breath sounds and bowel sounds D) Color, warmth, movement, and sensation of extremities
Which of the following authorized the development of a national, near real-time information network to coordinate federal and state response to public health emergencies?
1. Health Insurance Portability and Accountability Act 2. Pandemic and All-Hazards Preparedness Act 3. Sarbanes-Oxley Act 4. Federal Information Privacy and Security Act
The patient who is to have a blood transfusion for the treatment of anemia states that she is fearful of contracting HIV through the blood. The nurse assures her that transfusion blood has been put through special HIV screening since:
1. 1980. 2. 1984. 3. 1986. 4. 1999.