Which of the following nursing activities represent direct care? Select all that apply
a. Bathing a patient
b. Administering a medication
c. Teaching a patient how to change a wound dressing
d. Making work assignments for the shift
B, C
Direct care involves personal interaction between the nurse and clients (e.g., bathing a patient, giving medications, dressing a wound, or teaching a client about medicines or care). Nurses deliver indirect care when they work on behalf of an individual, group, family, or community to improve their health status (e.g., restocking the code blue cart [an emergency cart], ordering unit supplies, or arranging unit staffing).
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A cancer client makes the following statement to the nurse: "I guess I will tell my doctor to forego the chemotherapy. I do not want to be throwing up all the time. I would rather die
" Which of the following facts supports the use of chemotherapy for this client? A) Nausea and vomiting are only a factor for the first 24 hours after treatment. B) Most clients believe the discomfort is well worth the cure for cancer. C) Chemotherapy treatment can be adjusted to optimize effects while limiting adverse effects. D) Clinical trials are opening up new cancer treatments all the time.
You need to teach the patient about the side effects of a medication the patient is taking. How will you know if the patient has learned the information they need to know about their medica-tion?
1. The patient will be able to repeat the information. 2. The patient learns the information in their mind. 3. The patient remembers most of the information given. 4. The patient is selective with the information given.
The nurse understands that a client's pregnancy is progressing normally when which of the following physiologic changes are documented on the prenatal record of a woman at 36 weeks' gestation? Select all that apply
1. The joints of the pelvis have relaxed, causing a waddling gait. 2. The cervix is firm and purplish–blue in color. 3. The uterus vasculature contains one-sixth of the total maternal blood volume. 4. Gastric emptying time is prolonged, and the client complains of constipation and bloating. 5. Supine hypotension, creating dizziness, occurs when the client lies on her back.
The most important reason that the elderly are more prone to fluid volume deficits is that
a. it is difficult for people to drink fluid as they age b. the thirst mechanism in the hypothalamus becomes less responsive with aging c. aging persons are more likely to experience urinary incontinence d. fluid loss increases with age