A community health nurse is contracting with a client receiving services in the home. The nurse and client are negotiating the activities for which each will be responsible. This activity would correlate to which phase of the nursing process?
A) Assessment
B) Nursing diagnosis
C) Planning
D) Evaluation
C
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A nurse teaches a client about self-catheterization in the home setting. Which statements should the nurse include in this client's teaching? (Select all that apply.)
a. "Wash your hands before and after self-catheterization." b. "Use a large-lumen catheter for each catheterization." c. "Use lubricant on the tip of the catheter before insertion." d. "Self-catheterize at least twice a day or every 12 hours." e. "Use sterile gloves and sterile technique for the procedure." f. "Maintain a specific schedule for catheterization."
A patient is scheduled for radical prostatectomy. During the preoperative preparation, the nurse applies elastic compression stockings. The surgical position which places the patient at risk for the development of deep vein thrombosis is the:
A) Fowler's position B) Prone position C) Supine position D) Lithotomy position
A client is having a second amputation on the same leg for a nonhealing wound. He is visibly upset and states "With one leg, I am not a man anymore and won't be able to provide for my family"
Which response by the nurse best demonstrates caring communication? a. "Have you spoken to your wife about how you feel?" b. "I can call a social worker to talk to you about vocational rehabilitation." c. "I am sorry this is happening to you. I can sit with you for a while." d. "Many war veterans have amputations and still consider themselves men."
A client was assessed as having normal intraocular pressure. The nurse would document this client's pressure as being:
1. 5 mmHg ± 3 mmHg. 2. 15 mmHg ± 3 mmHg. 3. 30 mmHg ± 3 mmHg. 4. 50 mmHg ± 3 mmHg.