Qs
What will be an ideal response?
quantity sufficient
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The nurse is caring for residents on an Alzheimer's unit. What assessment findings indicate that a patient is in early stages of the disease?
a. Increased intracranial pressure (ICP) b. Forgetfulness c. Combativeness d. Agitation
A woman of Korean descent has just given birth to a son. Her partner wishes to give her sips of hot broth from a thermos they brought with them. They have refused your offer of ice chips or other cold drinks for the client
What should the nurse do? 1. Explain to the client that she can have the broth if she will also drink cold water or juice. 2. Encourage the client to have the broth, after the nurse takes it to the kitchen and boils it first. 3. Explain to the couple that food is not allowed to be brought from home, but that the nurse will make hot broth for them. 4. Encourage the partner to feed the client sips of their broth. Ask if the client would like you to bring her some warm water to drink as well.
The nurse enters the client's room and observes that the IV infusion device displays the correct fluid volume delivered to the client
Later, the unlicensed assistive personnel (UAP) enters the room and discovers the IV catheter is in the bed and blood is oozing from the IV puncture site. Which statement about these events is correct about nursing documentation in an incident report? 1. The UAP documents, "Nurse did not notice bloody drainage.". 2. The UAP reports to the RN, "IV catheter oozing bloody drainage.". 3. The nurse documents, "Client pulled out IV; bloody drainage in bed.". 4. The nurse documents, "IV infusing without difficulty at prescribed rate.".
The nurse is preparing to review the signs of penile carcinoma with a client. Which information should the nurse include in the teaching? Select all that apply.
A. Usually occurs in the glans. B. Rapidly growing popular lesions. C. May appear as an ulcer-like lesion. D. Palpable hard plaques along the dorsum under the skin. E. Reddened nodular growth.