While reviewing the nursing diagnoses in a student nurse's written care plan, a nursing instructor recognizes that additional teaching is warranted when the student nurse includes a nursing diagnosis of
1. "Pain related to abdominal incision."
2. "Altered sensory perception related to surgery."
3. "Chronic fatigue syndrome related to poor diet."
4. "Altered nutrition related to nausea and vomiting."
ANS: 3
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Following the vaginal delivery of a macrosomic infant, the nurse should assess the infant for:
a. hyperglycemia. b. clavicle fractures. c. hyperthermia. d. an increase in red blood cells.
Hyperresonance usually indicates:
1. emphysematous lung. 2. air-filled bowel. 3. liver. 4. skeletal bone.
The nurse is concerned about possible substance abuse by a coworker. Which behavior warrants further investigation?
1. The coworker frequently wastes medications. 2. The coworker frequently requests the largest patient care assignment for the shift. 3. The coworker prefers not to be the "medication nurse" on the shift. 4. The coworker declines to take scheduled breaks.
A nurse uses SBAR during hand-offs. The purpose of SBAR is to
a. Use common courtesy. b. Establish trustworthiness. c. Promote autonomy. d. Standardize communication.