The nurse is charting on the patient who is status-post surgery for an abdominal abscess, and notes: "Pt's temperature has not exceeded 98.6 this shift." This is an example of:
a. an intervention.
b. an outcome.
c. a plan.
d. a diagnosis/analysis.
B
An outcome measures the effectiveness of the plan of care. Options a, c, and d are incorrect.
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The triage nurse in the ED is performing a rapid assessment of a man with complaints of severe chest pain and shortness of breath. The patient is diaphoretic, pale, and weak. When the patient collapses, what should the nurse do first?
A) Check for a carotid pulse. B) Apply supplemental oxygen. C) Give two full breaths. D) Gently shake and shout, "Are you OK?"
The nurse plans a patient-care meeting that includes all of the physicians, physical therapists, and respiratory therapists involved in a patient's care as well as the patient's primary nurses. What role is the nurse performing?
1. Consultant 2. Advocate 3. Clinician 4. Collaborator
The advanced practice nurse (APRN) is caring for a patient who recently relocated from another city. The patient is reporting depressive symptoms and no previous history of depression
Which therapy will the APRN be most likely to discuss with the patient? 1. Pharmacotherapy 2. Psychological first aid 3. Cognitive-behavioral therapy 4. Critical incident stress debriefing
Which hearing assessment is the nurse performing in this image?
1. Rinne test 2. Tympanogram 3. Schwabach test 4. Weber test