When a homemaker/home health aide is making observations, it is important to
a. be doing several duties at one time to ensure good use of the homemaker/home health aide’s time
b. use all five of the senses
c. make his or her own personal judgments regarding this client
d. realize that a homemaker/home health aide does not really need to make observations
b. use all five of the senses
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A client with dysfunctional labor patterns has a nursing diagnosis of "Risk for Infection related to prolonged latent labor process." Which of the following would the nurse use as evidence to support this diagnosis?
a. Non-reassuring fetal tracing inclusive of severe variable decelerations; late decelerations b. Maternal fever of 100.4°F or 38°C, maternal tachycardia, fetal tachycardia, or a combination of these c. Client questions and an inability to cooperate with requested interventions d. Frequent or persistent maternal requests for pain relief, frequent uterine contractions, poor uterine resting tone, and failure of the cervix to dilate 1 to 2 cm per hour on cervical assessment
A new mother and her partner are concerned about their infant's ability to respond to germs that will be present in different settings that they will visit with the baby after discharge
The nurse informs them that the infant has some protection from the maternal immunoglobulins that have crossed the placenta, known as Immunoglobulin E (IgE). A) True B) False
The nurse is caring for an 82-year-old man and is reviewing information obtained in the health history assessment
The nurse knows that it is important to identify the pattern of illnesses and recognize how they might be related because this patient is what? A) In the hospital B) Stoic C) An older adult D) Chronically ill
Which of the following theories emphasizes the relationships between the whole and the parts, and describes how parts function and behave?
A) General systems theory B) Nursing theory C) Adaptation theory D) Developmental theory