When assessing a patient in the hospital setting, the nurse knows which statement to be true?

a. The patient will need a brief assessment at least every 4 hours.
b. The patient will need a consistent, specialized examination every 8 hours that focuses on certain parameters.
c. The patient will need a complete head-to-toe physical examination every 24 hours.
d. Most patients require a minimal examination each shift unless they are in critical condition.


ANS: B
In a hospital setting, the patient does not require a complete head-to-toe physical examination during every 24-hour stay. The patient does, however, require a consistent specialized examination every 8 hours that focuses on certain parameters.

Nursing

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The teaching plan for the parents of a 3-year-old child with amblyopia should include which instructions?

a. Apply a patch to the child's eyeglass lenses. b. Apply a patch only during waking hours. c. Apply a patch over the "bad" eye to streng-then it. d. Cover the "good" eye completely with a patch.

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A client who recently underwent surgery and now has a colostomy is correctly instructed by the nurse that for the next few weeks the client's diet will include foods such as:

1. Vegetables 2. Fresh fruit 3. Whole grain breads 4. Poached eggs and rice

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A 4-year-old child is admitted to the hospital secondary to dehydration. Laboratory tests indicate a high hemoglobin and hematocrit, and the serum sodium is below normal levels. Which condition does the nurse suspect based on the current data?

1. Hypernatremia 2. Metabolic acidosis 3. Hypotonic dehydration 4. Isotonic dehydration

Nursing