The nurse is caring for a client with skin breakdown of the coccyx area. The physician has ordered a medication to be applied to the area. In applying the medication, the nurse is practicing which aspect of the Nursing Process?
a. Assessment
b. Planning interventions
c. Implementation
d. Evaluation
ANS: C
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The nurse teaches the older adult and his or her family the following fall prevention measures: Standard Text: Select all that apply
1. Remove scatter rugs 2. Adapt living arrangements to one floor 3. Day and time medication boxes can be helpful 4. Keep bed in low position 5. Encourage frequent review of all prescribed medication
The nurse provides medication to a client at the wrong time. No harm came to the client as a result of the nurse's error and the nurse files a report about the medication error. Which response by the risk management team is most appropriate?
A) Discipline the nurse appropriately. B) Report the nurse to the board of nursing. C) Monitor all nurses on the unit to ensure this does not occur again. D) Attempt to implement policy changes to prevent future errors.
The primigravida at 22 weeks' gestation has a fundal height palpated slightly below the umbilicus. Which of the following statements would best describe to the client why she needs to be seen by a physician today?
1. "Your baby is growing too much and getting too big." 2. "Your uterus might have an abnormal shape." 3. "The position of your baby can't be felt." 4. "Your baby might not be growing enough."
Which situation demonstrates the use of primary care related to crisis intervention?
a. Implementing suicide precautions for a patient with depression. b. Teaching stress reduction techniques to a beginning student nurse. c. Assessing coping strategies used by a patient who has attempted suicide. d. Referring a patient with schizophrenia to a partial hospitalization program.