A nurse has completed an assessment and is about to document the findings. Which statement best reflects accurate documentation?
A) Client appears upset about upcoming surgery.
B) Client was interviewed about previous history of hypertension
C) Skin pale, warm, and dry without evidence of lesions
D) Client's oral intake is satisfactory
C
You might also like to view...
The patient is admitted with acute pancreatitis and is demonstrating severe abdominal pain, vomiting, and ascites. Using the Ranson classification criteria, the nurse determines that this patient:
a. has a 99% chance of survival. b. has a 15% chance of dying. c. has a 40% chance of dying. d. has no chance of survival.
An adult patient has a moderately severe infection and has been started on an antibiotic. The physician orders V-Cillin K by mouth. What dose would you expect the physician to prescribe?
1. 15 to 50 mg 4 times daily 2. 150 to 170 mg q6h 3. 250 to 500 mg 4 times daily 4. 1000 to 1500 mg 4 times daily
When assessing a newborn 1 hour after birth, the nurse measures an axillary temperature of 95.8° F, an apical pulse of 114 beats/minute, and a respiratory rate of 60 breaths/minute. Which nursing diagnosis takes highest priority?
A) Hypothermia related to heat loss during birthing process B) Impaired parenting related to addition of new family member C) Risk for deficient fluid volume related to insensible fluid loss D) Risk for infection related to transition to extrauterine environment
Nurse researchers have been particularly likely to use ability tests in studies of which group of subjects?
A) Low-birth-weight children B) Toddlers aged 2 to 5 C) Preadolescents D) Young adults