Describe the food on the plate of a blind patient in terms of a clock face
Indicate whether the statement is true or false.
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A patient wants to add an exercise program to their daily regimen. At this stage of change, what are some appropriate interventions the nurse should consider? Select all that apply
1. Identify and assist in problem solving. 2. Help the patient identify social support for the change. 3. Identify and promote new, positive outcome expectations. 4. Verify skills the patient possesses to assist in making a change. 5. Encourage and provide feedback on small steps toward change.
A client with a large pulmonary embolism is receiving alteplase (Activase). The nurse notes frank red blood in the Foley catheter drainage bag. What is the nurse's first action?
a. Irrigate the Foley. b. Administer an antibiotic. c. Clamp the Foley. d. Notify the health care provider.
When doing an admission assessment for a patient, the nurse notices that the patient pauses before answering questions about the health history. Which action by the nurse is most appropriate?
a. Interview a family member instead. b. Wait for the patient to answer the questions. c. Remind the patient that you have other patients who need care. d. Give the patient an assessment form listing the questions and a pen.
A 51-year-old woman had an incisional cholecystectomy 6 hours ago. The nurse will place the highest priority on assisting the patient to
a. choose low-fat foods from the menu. b. perform leg exercises hourly while awake. c. ambulate the evening of the operative day. d. turn, cough, and deep breathe every 2 hours.