A nurse is caring for a patient immediately after total knee replacement surgery. What assessment requires priority?
a. Quality of pulses in the affected limb
b. Degree of nausea and vomiting
c. Understanding of the procedure
d. Amount of pain
A
Assessments related to postoperative circulatory efficiency are priority assessments.
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Which measure would be most appropriate for the nurse to do to ensure that a child's ET tube is correctly positioned?
A) Auscultate for abdominal breath sounds B) Mark the tracheal tube at the child's lip C) Watch for a yellow display on a CO2 monitor D) Inspect for water vapor in the tracheal tube
A client and a nurse work together to meet a unique goal for the client to which they have mutually agreed. According to Berlo, the client has an image of what behaviors she believes the nurse will do in her role
What is the correct term for this definition? A) Role conflict B) Role prescription C) Role expectations D) Role description
A group of nursing students are reviewing information about factors affecting maternal, newborn, and women's health
The students demonstrate understanding of the information when they identify which of the following deficiencies as being associated with poverty? Select all that apply. A) Literacy B) Employment opportunities C) Mobility D) Political representation E) Skills
A 63-year-old female has been admitted to the hospital for cholecystitis. She is accompanied by her sister, who provides all the assessment data while the client sits and stares somewhat vacant-ly
You determine that the client is single, lives alone, and lost her job as a secretary last year when she was unable to learn a new computer system. The sister states she has recently had to manage the client's shopping, meal preparation, and finances. Which of the following are appropriate nursing diagnoses? 1. Pain, self-care deficits, situational low self-esteem 2. Anxiety, self-care deficits, disturbed thought processes 3. Impaired home maintenance, disturbed thought process, impaired verbal commu-nication 4. Disturbed body image, anxiety, pain