What common problem is related to outcome identification and planning?
A) Failing to involve the client in the planning process
B) Collecting sufficient data to establish a database
C) Stating specific and measurable outcomes based on nursing diagnoses
D) Writing nursing orders that are clear and resolve the problem
Ans: A
One of the most important considerations in outcome achievement is to encourage the client and family to be as involved in goal development as their abilities and interest permit. The more involved they are, the greater the probability that the outcomes will be achieved.
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The nurse is determining the difference between ethics and morality. Morality:
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When assessing the breast and lymphatics of the axillae, where would the nurse locate the central axillary nodes?
A) Inside the upper arm B) Along the lateral edge of the scapulae C) High in the axillae at the top of the ribs D) Inside the lateral axillary fold
When teaching a client using metronidazole (Flagyl), the nurse should include:
a. "Notify your health care provider immediately if your urine turns dark." b. "You should avoid the use of alcohol." c. "With this medication, your sexual partner does not need to be treated." d. "Do not take your oral contraceptives until you finish your Flagyl prescription."
A licensed practical nurse (LPN) has recently begun working in a nursing home that uses the functional nursing model
The nurse recognizes that each part of the nursing team has a specific function or task to complete. The LPN was assigned to change all of the dressings on the wing. While caring for a client requiring a large wet-to-dry dressing change to debride the infected wound, the LPN noted that the client was screaming in pain when she removed the old dressing, and the wound looked worse than it did the other day. Which actions should the LPN provide next? A) Complete the dressing, chart the findings, and go on to change the next client's dressing. B) Provide the pain medication and then change the dressing, and chart the findings. C) Ask the medication nurse to provide pain medication before completing the dressing. D) Report the findings to the physician and change the dressing and document.