The nurse is preparing to discharge a client with a new ileostomy. What should the nurse include when documenting discharge information about this client?
1. Last weight calculated and BMI
2. Most recent vital signs measurements
3. Findings from the physical assessment
4. Return demonstration on appliance care
4
Rationale 1: Body weight and BMI are not usually included in discharge information.
Rationale 2: Vital signs are not usually in discharge information.
Rationale 3: Physical assessment findings are not usually included in discharge information.
Rationale 4: Outcomes of client teaching to include return demonstration on appliance care should be included in the discharge information.
Global Rationale: Outcomes of client teaching to include return demonstration on appliance care should be included in the discharge information.Body weight and BMI, vital signs, and physical assessment findings are not usually included in discharge information
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A college student has presented the campus medical clinic complaining of cold symptoms that he has been experiencing for the past 2 weeks. He tells the nurse that he has been taking OTC decongestants twice daily since the onset of the cold
What teaching point should the nurse provide to this student? A) "It's best to take small doses of decongestants several times daily rather than two larger doses each day." B) "You can probably expect to get relief within the next few days or a week at the longest." C) "Over-the-counter decongestants don't normally work; you'll likely need to get a prescription for something more effective." D) "You might find yourself more congested than ever as your body compensates for your use of these drugs."
Which of the following women is at greatest risk of developing a postpartum hemorrhage?
a. 18-year-old G1P1 with a history of gestational diabetes b. 30-year-old G4P4 who delivered a 9 lb 7 oz baby c. 25-year-old G2P2 who had a 12-hour labor d. 22-year-old G1P1 with a first-degree episi-otomy
Before tube insertion, the nurse performs the NEX measurement, which is the
a. distance from the tip of the nose to the ear lobe and to the xiphoid. b. length of a tube from the hub to the tip converted to centimeters. c. distance from the ear lobe to the umbilicus. d. width of the lumen of the tube multiplied by the length.
The supply dose is also known as the
A. dose on hand. B. desired dose. C. dosage strength. D. dosage unit.