MC Which of the following items would you always include in a client's chart? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected
A. Initial assessment at beginning of shift.
B. Abnormalities noted during assessment.
C. Changes in client's condition.
D. General verbatim comments.
E. Client's response to teaching.
E
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The nurse is providing postpartum care for a client who gave birth by cesarean section several hours ago. Which interventions are appropriate for this client within the first 48 hours after birth?
Select all that apply. A) Antihypertensives as prescribed B) Frequent assessment of serum electrolytes C) Oxygen 2 liters nasal cannula as prescribed D) Seizure precautions E) Vital sign assessment every 4 hours
The nurse prepares to administer an intravenous (IV) push drug, but the skin around the patient's IV site is swollen and red. The patient states that the area hurts, and no blood return is obtained when the nurse aspirates the IV setup
What is the nurse's best action? a. Restart IV administration of the drug. b. Discontinue IV administration and notify the prescriber. c. Dilute the drug more before injecting it into the current IV site. d. Reassure the patient that this is an expected reaction and offer the prescribed pain medication.
Which of the following statements, made by a senior citizen who has taken a class on stress reduction, would indicate to the nurse the need for further instruction?
A) "Adults draw on coping skills learned throughout life." B) "Family members can be supportive during stress." C) "Stress may be positive or negative." D) "As one grows older, their stress decreases."
Which of the following is a nitrite compound that is used therapeutically to abort acute attacks of angina pectoris?
A. quinidine sulfate (Quinaglute) B. nitroglycerin C. digoxin (Lanoxin) D. minoxidil (Loniten)