MC The nurse is developing a plan of care for a client 3 days after surgery for a permanent colostomy. The client is ambulating and beginning to provide his own care
The nursing assessment should include which of the following essential factors? 1) The degree of mental alertness. 2) Whether the client is right- or left-handed. 3) His bowel habits prior to surgery. 4) The amount of abdominal distention. A. 1, 3
B. 3, 4
C. All but 2
D. All but 3
C
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When attempting to provide health-care services to the homeless, what should be a realistic concern for a nurse?
1. Most individuals that are homeless reject help. 2. Most individuals that are homeless are suspicious of anyone who offers help. 3. Most individuals that are homeless are proud and will often refuse charity. 4. Most individuals that are homeless relocate frequently.
When assessing homeless children, the community health nurse would expect to find them in which living situation most likely?
A) On the streets B) In shelters C) In parks D) In trailer parks
Which statement by the nurse when explaining the purpose of positive end-expiratory pressure (PEEP) to the family members of a patient with ARDS is accurate?
a. "PEEP will push more air into the lungs during inhalation." b. "PEEP prevents the lung air sacs from collapsing during exhalation." c. "PEEP will prevent lung damage while the patient is on the ventilator." d. "PEEP allows the breathing machine to deliver 100% oxygen to the lungs."
A mother calls the nurse practitioner to say, "I don't know what is wrong with my baby. He cried all night and kept pulling at his ear." How would the nurse respond?
A) "Oh, he probably was just hungry and wet. Did you feed him?" B) "Babies at that age cry at night. Think nothing of it." C) "That means his ear hurt. Bring him in to be checked." D) "That probably means he had a tummy ache. How is he now?"