The most effective documentation is:
1. 7/27 945 AM Pt. vomited, Pt. looked better after episode.
A. Nurse, LPN2. 7/27 945 AM Pt. vomited large amount. Reduced nausea.3. 7/27 945 AM Pt. reported less nausea after vomiting
A. Nurse, LPN
4. 7/27 0945 AM Pt. vomited 200 mL of partially digested food. Pt. states nausea diminished.
A. Nurse, LPN.
4
Documentation should be completed immediately after care is given, never before care. It should be timed and dated, ending with the signature of the nurse performing the care or making the observation. Charting should be objective and describe only what is seen, heard, felt, or smelled.
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Hospice nurses who identify the beginnings of compassion fatigue in their behavior can: Standard Text: Select all that apply
1. Attend memorial services for their clients. 2. Allow themselves to cry. 3. Take a leave of absence. 4. Distance themselves from their clients. 5. Take a walk.
A client is admitted to the emergency department for treatment of an overdose. The client's arterial blood gas results indicate acute respiratory acidosis. Which substance found on the nurse's review of the toxicology analysis is most likely the cause for
A) Cocaine B) Marijuana C) Oxycodone D) PCP
The nurse is caring for a patient with schizophrenia who is experiencing auditory hallucinations. The patient tells the nurse, "The voices in my head are telling me to do things that I don't want to do."
When planning care for this patient, what is the priority nursing diagnosis that the nurse will formulate? 1. Risk for violence caused by schizophrenia, manifested by command hallucinations. 2. Risk for violence due to auditory hallucinations, as evidenced by command hallucinations. 3. Disturbed thought processes due to schizophrenia, as evidenced by command hallucinations. 4. Disturbed thought processes due to auditory hallucinations, manifested by command hallucinations.
A nurse is teaching a class on maternal-child health, when a client asks, "How will I wean my baby off of breast milk to food?" Which response by the nurse is best? Select all that apply.
A) "Semisolid foods are given to complement breast milk, and then a cup will follow." B) "To avoid later food allergies, solid foods should start when the baby is interested." C) "New foods should be introduced one at a time, a week apart to prevent problems." D) "Make sure to offer at least two foods so the baby can have a choice of flavors." E) "Make sure to serve food at room temperature so the baby can pick it up easily."