Which statement(s) by the student nurse indicates an understanding of the nursing Kardex? Select all that apply
a. "It pulls data from multiple areas of the patient's chart."
b. "It is usually kept at the patient's bedside."
c. "It is used to document patient response to interventions."
d. "It summarizes the plan of care and guides nursing care."
A, D
The Kardex is a tool that pulls data from multiple areas of the patient's health record and helps guide nursing care. Responses to interventions are documented on flowsheets and in nurses' notes. Kardexes are paper forms that are kept together in a portable file at the nurses' station to allow all team members access to the summary information. The file is portable, so it could be carried to the bedside briefly; however, it is not stored there as a general rule.
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The nurse knows that one advantage of the tympanic membrane thermometer (TMT) is that:
a. Rapid measurement is useful for uncooperative younger children. b. Using the TMT is the most accurate method for measuring body temperature in newborn infants. c. Measuring temperature using the TMT is inexpensive. d. Studies strongly support the use of the TMT in children under the age 6 years.
Which of the following are the purposes for collecting specimens? Select all that apply
A) Screen for health problems. B) Cure health problems. C) Diagnose health problems. D) Treat health problems. E) Direct the plan of care. F) Prevent nosocomial infections.
The nurse is teaching the mother of a newborn how the immune system functions. Which statement regarding the process that occurs when healthy children are exposed to infection indicates accurate understanding of the information presented?
1. "Children who are exposed to infection naturally develop antibodies." 2. "Children who are exposed to infection are found to be healthier." 3. "Children who are exposed to infection will acquire terminal illnesses." 4. "Children who are exposed to infection will have weakened immune systems."
A patient's plan of care includes the goal of increasing mobility this shift. As the patient is ambulating to the bathroom at the beginning of the shift, the patient suffers a fall. Which initial action will the nurse take next to revise the plan of care?
a. Consult physical therapy. b. Establish a new plan of care. c. Set new priorities for the patient. d. Assess the patient.