A postoperative client is being encouraged to increase physical activity each day. After assisting the client to ambulate down the hall and back to his room, on which part of the medical record should the nurse document this information?
a. nursing progress notes c. nursing care plan
b. flow sheet d. client education record
A
The nursing progress notes is the traditional method of nursing documentation, including descriptions of a client's status, interventions, and treatments.
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During examination of the abdomen, the nurse identifies an area of pain to light palpation in the right lower quadrant. What is the most appropriate next action?
A) Deep palpation of the area B) Administer pain medication C) Assess for rebound tenderness D) Auscultate for vascular sounds
The nurse is receiving a report from the PACU about a patient who is returning to the unit after a Billroth II (gastrojejunostomy). The nurse will assess for which complication related to this procedure?
A) Feeling of hunger B) Constipation C) Feeling of fullness D) Gastric reflux
After conducting a physical assessment, the nurse determines that the client is at risk for developing cataract. Which item in the health history support that the client is at risk for developing cataracts?
A) Age 75 years B) Hypertension C) Minimal direct sun exposure D) Nonsmoker
A nursing faculty is teaching students about Cochrane Centers. What information about these centers should this faculty include in the teaching? Standard Text: Select all that apply
1. There are two centers, one located in the United States and the other located in Germany. 2. They help to support the Cochrane Collaboration by organizing workshops and seminars. 3. The centers are all unique and reflect the interests of the individuals in that center. 4. One of the functions of these centers is to train people to do reviews. 5. These centers are for-profit health care facilities that provide state-of-the-art medical services.