When a patient complains of pain, a nurse assesses the pain level and administers pain medication. Using DAR charting, the nurse should chart these actions under
1. Data.
2. Action.
3. Response.
4. Assessment.
ANS: 2
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A patient with an incomplete spinal cord injury is being transferred from intensive care to the neurological trauma unit
The nurse realizes that in order to minimize the patient's risk of developing autonomic hyperreflexia, which interventions should be included in the patient's care plan? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Monitoring skin temperature in lower extremities 2. Assessing for abdominal distention 3. Bladder scan postvoiding 4. Assessing pulse oximetry levels with vital signs 5. Strict output monitoring
Ethnic differences have been found in drug:
1. Absorption 2. Hepatic metabolism 3. Filtration at the glomerulus 4. Passive tubular reabsorption
The nurse is engaging in an activity to develop spiritual self-awareness. What activities can aid the nurse in achieving this goal?
1. Write a will. 2. Complete an advance directives form. 3. Explore personal end-of-life issues. 4. Create a personal loss history. 5. List significant values.
Which of the following statements reflects a nurse's need for further instructions regarding an incident report?
1. "I hope this incident report will help determine a way to help prevent falls." 2. "Risk management will want to review the incident report on the client's fall." 3. "I put the incident report on the client's fall in his chart as soon as I was fin-ished." 4. "I need to review the guidelines before I fill out this incident report regarding the client's fall."