Which client will the neurologic unit charge nurse assign to a registered nurse who has floated from the labor/delivery unit for the shift?
A. An older adult client who was just admitted with a stroke and needs an admission assessment
B. A young adult client who has had a lumbar puncture and reports, "Light hurts my eyes."
C. An adult client who has just returned from having a cerebral arteriogram and needs vital sign checks every 15 minutes.
D. A middle-aged client who has a possible brain tumor and has questions about the scheduled magnetic resonance imaging.
Ans: C. An adult client who has just returned from having a cerebral arteriogram and needs vital sign checks every 15 minutes.
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Which of the following is a criticism of standardized nursing diagnoses developed by NANDA?
1) There is little research to support nursing diagnoses labels. 2) A perfect nursing diagnosis must be written in order for it to be useful. 3) They are not included in all states' nurse practice acts. 4) Other professions do not recognize nursing diagnoses.
A new mother is concerned her newborn is not gaining enough weight. To encourage proper weight gain, the mother should be instructed to:
1. Dilute formula with water. 2. Offer 6–8 formula feedings every 24 hours. 3. Offer formula every 6–8 hours. 4. Add honey to the formula to increase the caloric intake.
Three servings of milk, yogurt, or cheese plus two servings of meat, poultry, or fish will adequately supply the recommended amount of protein for the pregnant woman
Many patients are concerned about the increased levels of mercury in fish and may be afraid to include this source of nutrients in their diet. Sound advice by the nurse to assist the pa-tient in determining which fish is safe to consume would include: a. Canned white tuna is a preferred choice. b. Avoid shark, swordfish, and mackerel. c. Fish caught in local waterways are the safest. d. Salmon and shrimp contain high levels of mercury.
Which laboratory test result will the nurse monitor when evaluating the effects of therapy for a 62-year-old female patient who has acute pancreatitis?
a. Calcium b. Bilirubin c. Amylase d. Potassium