Which stem question best indicates that an "Implementation" category question is being asked?
a. Which action should the nurse perform first?
b. You know your teaching concerning co-lostomy care was successful if the client makes which statement?
c. Identify the data that are most important to obtain for a client with cardiac disease.
d. Which nursing diagnosis has the highest priority?
A
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A patient comes to the clinic for a follow-up appointment. As the nurse reviews the patient's medications, the person states, "I don't think my lisinopril (Zestril) is as effective as it once was
" Which medication would the nurse be most concerned about reducing the effect of lisinopril? a. Spironolactone (Aldactone) b. Furosemide (Lasix) c. Verapamil (Calan) d. Ibuprofen (Motrin)
A patient having her fourth child is admitted to the labor unit and is accompanied by a doula. The intrapartum nurse expects the doula to assist with:
1. Fetal monitoring and relaxation techniques. 2. Physical and emotional comfort techniques. 3. Breathing techniques and labor assessment. 4. Massage and vaginal exams.
A client is admitted to the hospital after being found in a car on the side of a bridge complaining of having a heart attack. Following extensive tests, it is found the client did not have a heart attack. The client most likely was having:
A) Suicidal feelings. B) Posttraumatic stress disorder. C) Transitory cardiac symptoms. D) A panic attack.
The nurse is assisting in the preparation of a teaching plan for an older patient. What information about maintaining a healthy immune system should the nurse recommend be included in this plan? (Select all that apply.)
a. Get a pneumovax vaccine yearly. b. Obtain a varicella booster every 3 years. c. Get a diphtheria and tetanus booster every 10 years. d. Avoid people with colds or other infectious illnesses. e. Get an influenza vaccine yearly before influenza season. f. Obtain vaccination against hepatitis B if infection risk is moderate to high.