The nurse is attending an in-service education program that identifies the Joint Commission's requirements of documentation. Which of the following would be one of these requirements?
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
ANS: C
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A pediatric patient is receiving asparaginase (Elspar). What manifestations would lead the nurse to determine that the child is having a possible side effect from this drug? (Select all that apply.)
A. Blistering at infusion site B. Increased PT and INR C. Potassium of 2.7 mEq/L D. Seizures E. Shortness of breath
A standard 12-lead ECG provides views of the heart in _____
a. the frontal plane only b. the sagittal plane only c. the horizontal plane only d. both the frontal and the horizontal planes
Poor patient outcomes after a traumatic injury are associated with:
A. chest tube placement for treatment of a hemothorax. B. immediate decompression of a tension pneumothorax. C. massive transfusions of blood products. D. peritoneal lavage to diagnose intraabdominal bleeding.
A pregnant patient at 35 weeks gestation gives birth to a healthy baby boy. What factors regarding the development of the normal respiratory system should the nurse consider when performing an assessment of the neonate?
A) As the fetus approaches term, there is an increase in the secretion of intrapulmonary fluid. B) Lung expansion after birth suppresses the release of surfactant. C) Surfactant causes an increased surface tension within the alveoli, which allows for alveolar reexpansion following each exhalation. D) Under normal circumstances, by the 34th to 36th weeks of gestation, surfactant is produced in sufficient amounts to maintain alveolar stability.