The Joint Commission requires which type of assessment be performed on all patients?
1) Functional ability
2) Pain
3) Cultural
4) Wellness
ANS: 2
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A 24-year-old male patient with a complete transection of the spinal cord asks, "Will I be able to father children in the future?" The nurse responds,
A) "Probably not since your spinal cord has been completely severed." B) "An urologist may be able to insert a needle into your testes and withdraw some sperm." C) "With proper stimulation of your genitals, you may be able to produce an erection and ejaculation." D) "It takes sympathetic innervation to produce an erection and ejaculation which is loss with your type of injury."
The nurse manager is reviewing the importance of using technology when providing patient care. Which action should the manager take to improve the staff's acceptance of big data?
A) Place user manuals for the computer systems throughout the care area. B) Ask staff to participate in the selection of a clinical information system. C) Purchase reference materials that explain standardized nursing languages. D) Subscribe to websites that provide information on evidence-based guidelines
The nurse is evaluating an infant's tolerance of a feeding post-pyloromyotomy. Which finding indicates the infant is not tolerating the feeding?
1. Need for burping after 30 cc 2. Presence of bowel sounds 3. Passing gas 4. Emesis
The nurse who is to administer 2.5 mL of intramuscular pain medication to an adult client notes that the previous injection was administered in the right ventrogluteal site. In which site should the nurse plan to administer this injection?
A) The rectus femoris B) The same site C) The deltoid D) The left ventrogluteal