The nurse is preparing to document a narrative note. Which format should the nurse use?
A. Short sentences.
B. Paragraph.
C. Acronyms.
D. Bullet points.
Answer: B
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A 69-year-old patient has been admitted to an adult psychiatric unit because his wife thinks he is getting more and more confused. He laughs when he is found to be forgetful, saying "I'm just getting old!"
After the nurse completes a thorough neurologic assessment, which findings would be indicative of Alzheimer disease? Select all that apply. a. Occasionally forgetting names or appointments b. Difficulty performing familiar tasks, such as placing a telephone call c. Misplacing items, such as putting dish soap in the refrigerator d. Sometimes having trouble finding the right word e. Rapid mood swings, from calm to tears, for no apparent reason f. Getting lost in one's own neighborhood
The nurse will use all of the following safety devices when using needles in client care except:
1. Needleless systems. 2. Retracting catheters. 3. Cardboard contaminated sharps containers. 4. Gloves.
A patient has been admitted with a fractured pelvis that occurred in an auto accident just a few hours ago. The nurse notices a slight change in behavior
Which of the following clinical manifestations would lead the nurse to suspect that the patient has fat emboli that has migrated? Select all that apply. A) Complaints of substernal chest pain B) Complaints of pain in the lower abdomen and back C) Pulse rate 120 with temperature of 99.7 °F D) Profuse diaphoresis with pallor noted E) Urine output of 30 mL/hour
A woman with breast cancer is undergoing chemotherapy. Which of the following side effects would the nurse interpret as being most serious?
A) Vomiting B) Hair loss C) Fatigue D) Myelosuppression