The nurse cares for a patient who received a neuromuscular blocker during surgery. Which finding indicates that the frequency of assessments may be decreased?
1. The patient is fully conscious.
2. The patient can breathe spontaneously.
3. All muscle function has fully recovered.
4. Vital signs are normal.
Correct Answer: 3
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Preparation is a key factor in managing future transitions. Which of the following is not an appropriate choice in helping patients prepare for transitions?
a. Avoid discussing difficult topics with patients b. Talking to patients and residents about changes to be anticipated c. Repeating all necessary information about the transition d. Involving family members when discussing future transitions
The nurse is admitting a patient to a long-term care facility. During the admission, the patient verbalizes a concern about getting dementia now that he is in a nursing home
In what activi-ty(ies) should the nurse encourage the patient to participate to maintain brain health? (Select all that apply.) a. Physical exercise c. Socialization b. Stimulating mental activity d. Increasing dietary intake
Clinical handover can be achieved by using a variety of information-sharing techniques such as SHARED, which stands for: a. Situation, History, Assessment, Risk, Expectation,Documentation
b. Shared, Health, Arrangement, Resource, Evaluate,Determination. c. Skills, Harm, Activity, Result, Error,Dependability. d. Systems, Handover, Available, Reduce, Enhance, Deterioration.
During a musculoskeletal assessment of a 20-month-old toddler, the nurse expects to observe:
1. A swayback and outwardly turned feet 2. A spine that is flexed and lacking anteroposterior curves 3. Widened hips and fat deposits on the thighs and buttocks 4. A stance with moderately spaced foot placement and a slightly rounded abdomen