The nurse is performing an admitting assessment on a patient who has been diagnosed with depression. What is the purpose of this process?
1. Determine mutual goals of care.
2. Identify patient information and history.
3. Establish and document the nursing diagnosis.
4. Establish a therapeutic nurse-patient relationship.
Answer: 2
Explanation: Assessments performed on admission allow the nurse to identify patient information and history. While establishing a therapeutic nurse-patient relationship, determining mutual goals of care, and establishing and documenting the nursing diagnosis are important interventions, they are not the purpose of the admitting assessment.
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A patient is undergoing testing to see if he has a pleural effusion. Which of the nurse's respiratory assessment findings would be most consistent with this diagnosis?
A) Increased tactile fremitus, egophony, and a dull sound upon percussion of the chest wall B) Decreased tactile fremitus, wheezing, and a hyperresonant sound upon percussion of the chest wall C) Lung fields dull to percussion, absent breath sounds, and a pleural friction rub D) Normal tactile fremitus, decreased breath sounds, and a resonant sound upon percussion of the chest wall
A client is being prepared for a craniotomy. What should the nurse explain to the family about the client's condition after the surgery?
1. Will be unconscious for several days 2. Will not be able to eat for 2 weeks 3. Will have swelling of the head and eyes with bruising 4. Can take a shower the next morning
Nursing care for the child in congestive heart failure includes
a. Counting the number of saturated diapers b. Putting the infant in the Trendelenburg position c. Removing oxygen while the infant is crying d. Organizing care to provide rest periods
Why are "natural" thyroid products not readily prescribed for most patients?
1. There is no reliability for the amount of hormone per dose. 2. There is higher incidence of allergic reactions. 3. There is a more reliable dose of T3 to T4 per batch. 4. All of the above