Which is the best example of an expected outcome?
a. Turn, cough, and deep breathe every 2 hours.
b. The client will maintain nutritional status.
c. The client will walk the length of the corridor twice a day by the second day after surgery.
d. The client has gained 3 pounds within 2 months as stated.
C
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If you suspect a coworker is diverting drugs or abusing alcohol, which of these actions should you take first?
a. Call the local drug enforcement administration (DEA) office and report your concerns. b. Confront the coworker privately and discuss your concerns face-to-face. c. Discuss your concerns with another coworker and see if anyone else has noted suspicious behavior. d. Provide your supervisor with documentation of suspicious incidents or behavior supporting your concerns.
A patient requires toenail care. While the nurse performs nail care and nail care education the patient is instructed to always do which of the following?
a. Use clippers or manicure scissors to trim the nails straight across. b. Apply a hot water bottle to the feet before foot care to soften the tissues. c. Apply over-the-counter preparations to any foot fungus or disease. d. Apply moist wet-to-dry dressing on any cuts and cover with socks.
The nurse is assessing a client who reports severe knee pain after a fall. Which question does the nurse ask to determine the radiation of the pain?
a. "What makes the pain better or worse?" b. "Are you able to bear any weight on the knee at all?" c. "Does the pain move to another area from your knee?" d. "How would you rate the pain on a scale of 1 to 10?"
The client says that her menstrual cycles are usually 34 to 35 days long. She asks when she is most likely to be ovulating. What is the nurse's best response?
A. "Because your cycle is so long, you are probably not ovulating." B. "Ovulation usually occurs 14 days after the beginning of menstruation, so you probably ovulate on day 14." C. "Ovulation usually occurs 14 days before beginning the next menstrual cycle, so you probably ovulate on day 20 or 21." D. "Ovulation cannot be predicted in any one person because of the number of per-sonal variables that interfere with this process."