Which statement is not correct regarding the nursing plan of care? The plan of care
a. is initiated on the day of admission
b. directs the care of the nursing staff only
c. includes input from the client and family
d. is a comprehensive assessment of the entire person
B
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A 70-year-old patient is being treated with an antihypertensive medication. The patient states, "I have never been bothered with nasal congestion before and I don't have a cold." The nurse explains:
A) "The congestion is related to your environment." B) "The congestion is related to flu-like symptoms." C) "The congestion may be due to seasonal changes." D) "The congestion is due to your blood pressure medication."
Andrea's mother has been becoming more and more forgetful. It seems to have gotten worse over the past 15 years. Her most likely diagnosis could be:
A. Depression. B. Alzheimer's Disease. C. Hyperthyroidism. D. Delirium.
The nurse is preparing to discharge a client with diarrhea. The healthcare provider prescribes kaolin to manage the client's diarrhea. After providing the client with information on this medication, which client statement indicates the need for further ed
A) "If my diarrhea does not get better within 2 days, I will need to call my healthcare provider for further advice." B) "I will need to take the medication after each loose stool." C) "I should continue to take this medication daily until my stools are firm and dry." D) "If I start to have a fever, I need to contact my healthcare provider about continuing to take this medication."
During the physical assessment of the client, the nurse notes that the client is able to shrug her shoulders bilaterally. The function of which of the following cranial nerves is intact?
1. Cranial nerve I (olfactory) 2. Cranial nerve II (optic) 3. Cranial nerve VII (facial) 4. Cranial nerve XI (spinal accessory)