Which of the following is an example of assessment data?
a. Altered nutrition
b. Resident will walk 100 feet each afternoon
c. Resident complaining of difficulty swallowing
d. Monitor the resident's oral intake
C
Response C gives the nurse more information about the resident. Response A is a nursing diagnosis. Response B is a patient goal. Response D is a nursing intervention.
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The nurse is initiating an IV of 5% Dextrose and 0.45 NS to infuse at 60 mL/hour for 24 hours on a client who has never had an IV before. Which of the following sites would be the nurse's first choice?
1. Digital vein 2. Metacarpal vein 3. Antecubital cephalic vein 4. Great saphenous vein
The nurse is instructing a female client on the proper method for a midstream clean-catch urine specimen. The nurse should stress the importance of:
1. wiping the meatus with an antiseptic towelette from front to back. 2. using antibacterial foam to cleanse the labia and meatus. 3. using an iodine solution to cleanse the outer labia. 4. cleansing the meatus in a circular motion with an antiseptic towelette.
A client is admitted to the unit with diabetic ketoacidosis (DKA). Which insulin would the nurse expect to administer intravenously?
A) Glargine B) Regular C) NPH D) Lente
Which of the following statements made by an older adult client alerts the nurse to the possibility of medication errors?
A. "My husband is on the same medication, so we always take our medications to-gether in the morning." B. "I prepare all my medication for the week and place the pills in a container labeled for each day." C. "When I don't sleep well at night, I take two thyroid pills the next day instead of just one." D. "I take my Coumadin every day when the noon news comes on the television."