Your client is in pain and reluctant to move, instead preferring to lie quietly in bed. What nursing diagnosis would be most appropriate?
1. Risk for imbalanced nutrition
2. Powerlessness
3. Risk for disuse syndrome
4. Impaired skin integrity
ANS: 3
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The nurse explains to a patient with cholelithiasis that the purpose of the cholescintigraphy (HIDA scan) is to:
a. visualize the location of the gallstones. b. assess the amount of inflammatory swel-ling. c. diagnose abnormal contraction of the gallbladder. d. assess composition of the gallstones.
You use flow sheets for documentation of both medical and nursing orders, and any significant or abnormal client findings you chart in the progress notes. Which type of charting is your health care facility using?
1. charting by exception 2. APIE (Assessment, Problem Identification, Interventions, Evaluation) 3. PIE (Problem identification, Interventions, Evaluation) 4. SOAP (Subjective, Objective, Assessment, Plan)
A novice nurse is in the "rejection phase" of stress and wonders if she made the right decision when deciding nursing was her chosen career. Which strategy would help the novice nurse cope with transition into practice and reduce stress?
a. When asked by the charge nurse to accept the new admission even though she had no discharges, the novice nurse stops and considers if this request is acceptable and safe, then accepts the assignment based on two patients having a low acuity level. b. Refusing to eat anywhere but the hospital cafeteria to ensure a balanced diet and time to socialize with other staff and visitors c. Avoid wasting time by listening to co-workers' problems or ideas on how to staff the unit during the upcoming holiday since the novice nurse's time is valuable and better spent getting her own work completed. d. Make an effort to "win over" hostile or angry co-workers who find fault with the novice nurse's work performance.
The Norvasc should be _________ if the patient's blood pressure is 96/50
Fill in the blank(s) with correct word