A client is unable to identify the correct date and time during a health interview. Which indicator should the nurse document the finding as?
A. Cooperation.
B. Level of anxiety.
C. Affect and mood.
D. Orientation.
Answer: D
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A nurse notes that a child's chart describes a heave. Which assessment should the nurse perform to correlate with this finding?
A. Assess for nausea. B. Auscultate for heart sounds. C. Listen to lung sounds. D. Review the last ECG
A 12-year-old child who has been taking sertraline for the past 2 weeks has returned to the clinic to be seen. It will be critical for the nurse to assess for
A) onset of suicidal ideation. B) weight loss. C) feelings of grandiosity. D) decreased sleep.
A client has esophageal cancer. Which intervention by the nurse takes priority?
a. Maintaining nutritional intake b. Allowing grieving c. Preventing aspiration d. Managing pain relief
A new nurse understands that organization is key to providing safe, effective care. Which of the following actions would help to achieve this? (Select all that apply.)
a. Memorize her assignment and patient re-ports. b. Create a work organization sheet. c. Keep info about each patient on separate sheets of paper. d. Write down all pertinent patient info. e. Minimize distractions during report.