Which step ensures that the assessment data are correct before proceeding with the nursing process?
A) Clustering data
B) Validation
C) Implementation
D) Evaluation
B
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The nurse is caring for a patient who is withdrawing from heavy alcohol use and who is consequently combative and confused, despite the administration of benzodiazepines
The patient has a fractured hip that he suffered in a traumatic accident and is trying to get out of bed. What is the most appropriate action for the nurse to take? A) Leave the patient and get help. B) Obtain a physician's order to restrain the patient. C) Read the facility's policy on restraints. D) Order soft restraints from the storeroom.
A patient is brought to the emergency department by ambulance after swallowing toilet bowl cleaner. The patient is alert and oriented. What would the most appropriate treatment be?
A) Administering syrup of ipecac B) Performing a gastric lavage C) Giving milk to drink D) Sending for a consultation with psychiatry
The nurse participating in a client care conference with other health team members is discussing the condition of a client with adult respiratory distress syndrome (ARDS)
The physician states that because of fluid in the alveoli, surfactant production is falling. The nurse understands that the consequence of insufficient surfactant is: 1. Atelectasis and viral infection 2. Bronchoconstriction and stridor 3. Collapse of alveoli and decreased compliance 4. Decreased ciliary action and retained secretions
When integrating the principles of family-centered care, the nurse would include which of the following?
A) Childbirth is viewed as a procedural event B) Families are unable to make informed choices C) Childbirth results in changes in relationships D) Families require little information to make appropriate decisions