The nurse has assessed a client and determined that the client has abnormal breath sounds and low oxygen saturation level. The nurse is performing what type of nursing intervention?
A) Supportive
B) Surveillance
C) Collaborative
D) Maintenance
Ans: B
Feedback:
Surveillance nursing interventions include detecting changes from baseline data and recognizing abnormal responses.
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The client is recovering from a delivery that included a midline episiotomy. Her perineum is swollen and sore. The client is asking for her ice pack to be refreshed. The best response from the nurse is:
1. "I'll get you one right away." 2. "You only need to use one ice pack." 3. "You need to leave it off for at least 20 minutes and then reapply." 4. "I'll bring you an extra so that you can change it when you are ready."
A busy neurologic ICU and step-down unit most likely would use which patient classification system?
a. Factor evaluation b. Prototype evaluation c. Hybrid system d. AHRQ system
Why would the nurse advise a family trying to help a younger child overcome nocturnal enuresis to have the child practice using the alarm system with a doll or stuffed animal?
a. to help the child feel comfortable with the system b. to make sure the child can operate the system independently c. to ensure that the child won't throw the system out of the bed at night d. to perfect the child's technique in using the system
Pain does not normally affect a patient's mobility.
Answer the following statement true (T) or false (F)