A client with left-sided heart failure is admitted to the unit. Which item is a priority assessment upon arrival?
1. Airway and oxygenation status
2. Neurological status
3. Abdominal assessment
4. Presence of peripheral edema
Airway and oxygenation status
Rationale: The client with left-sided failure will exhibit symptoms of a respiratory nature. The priority assessment for this client would be the airway and oxygenation status. The neurological status will decline as the lack of oxygenation progresses. An abdominal assessment and presence of peripheral edema will be included in the assessment, but are more common in right-sided failure than in left-sided failure.
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a. "That is a good way to soothe your baby." b. "Honey does not have any soothing effects." c. "There is still a risk for infant botulism from honey." d. "Honey is OK, but it should not be put on the pacifier."
General cast care considerations would include which of the following?
1. Keep cast clean and dry, monitor integrity of cast materials, and elevate the involved extremity for 24 to 48 hours as recommended. Monitor neurovascular status per doctor's orders and shower as instructed. 2. Allow the cast to get wet and follow up in 4 to 6 weeks for cast removal. 3. Spray the cast with Febreze if a foul smell occurs. 4. All of the above
A client diagnosed with type 2 diabetes mellitus reports poor glucose control since starting her new stressful job. The nurse uses Neuman's theory to focus on the:
1. Identification of new stressors and improve dietary choices 2. Acquisition of appropriate interpersonal communication skills 3. Learning of effective coping methods and relaxation techniques 4. Implementation of both aerobic and anaerobic exercise routines
Describe the makeup of a SOAP note.
What will be an ideal response?