Which client has the greatest need for comprehensive discharge planning?
1) A woman who has just given birth to her second child and lives with her husband and 18-month-old daughter
2) A man who has been readmitted for exacerbation of his chronic obstructive pulmonary disease
3) A 12-year-old boy who had outpatient surgery on his knee and lives with his mother
4) A woman who was just diagnosed with renal failure and has started peritoneal dialysis
ANS: 4
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Which steps should the LPN/LVN follow when performing a pain assessment?
a. Assess vital signs, status of pain, and ag-gravating factors. b. Assess location, quality, and intensity on an identified scale. c. Assess the intensity on an identified scale and record findings. d. Assess vital signs and location, and report to the RN.
The nurse is caring for a renal transplant patient admitted with an acute rejection episode. The patient asks the nurse how the doctors will know if the kidney has been rejected. What is the best response by the nurse?
a. "Your admission lab results will determine if your kidney is being rejected." b. "A procedure called a renal biopsy will be the best way to confirm rejection." c. "Monitoring over the next few days will determine if your kidney is failing." d. "An ultrasound of your kidney will determine if your kidney has failed."
When assessing how well a client has managed to meet Maslow's fourth-level needs related to self-esteem, the nurse would consider the individual's:
1. Competence 2. Intimate relationships 3. Freedom from fear 4. Vocation
Which of the following statements most accurately conveys the relationship between systematic reviews and clinical practice guidelines?
A) Clinical practice guidelines are a more reliable and valid source of guidance than systematic reviews. B) In the absence of a relevant and current systematic review, clinicians should base their practice on available clinical practice guidelines. C) Clinical practice guidelines normally integrate the results of systematic reviews into their recommendations. D) Clinical practice guidelines and systematic reviews are largely synonymous.