Which of the following are examples of nursing activities that are considered part of the independent functions of the nursing role? Select all that apply
1. Introduce oneself to the client and interview the client to collect data about physical health status.
2. Talk with the client about his or her abilities to manage personal hygiene activities while in the usual state of health at home.
3. Administer analgesic medication ordered by the health care provider.
4. Incorporate adaptive techniques into nursing care as recommended by occupational therapy.
5. Teach a soon-to-be-discharged client about the medication regimen that the health care provider has prescribed for the client after discharge.
Correct
1. Introduce oneself to the client and interview the client to collect data about physical health status.
2. Talk with the client about his or her abilities to manage personal hygiene activities while in the usual state of health at home.
Rationale: Introduce oneself to the client and interview the client to collect data about physical health status. These activities are included in assessment, which is an independent activity that nurses may perform, based on their education and skills. Talk with the client about his or her abilities to manage personal hygiene activities while in the usual state of health at home. This activity is part of the assessment process, which is an independent activity that nurses may perform, based on their education and skills. Administer analgesic medication ordered by the health care provider. This is an example of a dependent activity, since the medication is prescribed by the health care provider and administered by the nurse. Incorporate adaptive techniques into nursing care as recommended by occupational therapy. This is an interdependent activity, since the nurse will be working in coordination with another health team member. Teach a soon-to-be discharged client about the medication regimen that the health care provider has prescribed for the client after discharge. This is an interdependent activity, since the nurse will be teaching the client about medications prescribed for use by the health care provider.
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The nurse has completed an educational program for residents of a retirement community regarding unsafe medication practices. Which statement made by a resident indicates the need for further education?
1. "I will not take medication that is more than 1 year old." 2. "I will buy all of my medication from the same pharmacy." 3. "I will not take medication that has been prescribed for someone else." 4. "Medication can be obtained from an Internet pharmacy, as long as it says the medication was made in the United States or Canada."
A client has been diagnosed with HIV and has been placed on antiretroviral therapy. What does the nurse inform the client will be required for determining the progression of the disease as well as guiding drug therapy?
A) The client will be required to stop the medication for 2 weeks and then have laboratory studies drawn to determine if the antiretroviral therapy has cured the disease. B) Viral load and T4-cell counts will be performed every 2 to 3 months. C) More antiretroviral medication will be added every 2 to 3 months. D) The Western blot test will be monitored every 6 months to see if the virus is still present.
Pulsus paradoxus may be seen on intra-arterial blood pressure monitoring when
a. there is a decrease of more than 10 mm Hg in the arterial waveform before inhalation. b. there is a single, nonperfused beat. c. the waveform demonstrates tall, tented T waves. d. the pulse pressure is greater than 20 mm Hg on exhalation.
The nurse is conducting a physical assessment for an older adult patient. The nurse notes that the patient has yellow, thickened nails. Which is the most likely cause for this finding?
1) This is an expected finding based on the patient's age. 2) This finding indicates liver dysfunction. 3) The finding indicates a fungal infection. 4) The finding indicates poor renal function.