A client who usually smokes a pack of cigarettes a day tells the nurse that he cannot stand the smell of smoke. The nurse realizes that this client is in which phase of hepatitis?
1. Preicteric
2. Icteric
3. Posticteric
4. Recovery
1
In the preicteric phase of hepatitis, some smokers will have an aversion to smoking as a first sign of the disease. Smoking is not affected with the icteric or posticteric phases of the disease. Recovery is not a phase of hepatitis.
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All nursing interventions that are implemented for patients must be documented or charted. Proper documentation of interventions:
a. facilitates communication with all members of the health care team. b. are only considered "legal" if documented in the paper chart. c. leads to errors of omission and repetition of care. d. does not directly measure goal achievement or outcomes.
A client with a respiratory rate of 8 breaths per minute has an oxygen saturation of 82%. Which nursing diagnosis is a priority for this client?
A) Risk for Infection B) Impaired Spontaneous Ventilation C) Risk for Acute Confusion D) Decreased Cardiac Output
An older client is experiencing diarrhea and a fever. Which assessment finding indicates that this client is dehydrated? (Select all that apply.)
a. Agitation and restlessness b. Dark yellow urine c. Orthostatic hypotension d. Three-pound weight gain e. Mucous membranes moist
The nurse is preparing a sterile field with several items on it. Which action should the nurse implement to maintain a sterile field?
a. Flip sterile objects onto the sterile field. b. Put fluid holders near the edge of the field. c. Wear sterile gloves to open sterile packs. d. Open the inner flaps of the sterile pack-ages first.