A nurse is writing a care plan for a newly admitted patient. When formulating the diagnostic statements in the care plan, what would the nurse use?
A) Rationale
B) ANA recommendations
C) Physical assessment skills
D) Diagnostic reasoning
D
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Which function or assessment finding in a client being admitted to the postanesthesia care unit after surgery is the best indication that the client's respiratory status does not require immediate attention?
A. The client is able to talk. B. The client is alert and oriented. C. The client's oxygen saturation is 90%. D. The client's chest rises and falls rhythmically during respiration.
Which action would provide an indication that an adolescent's parents understand their daughter's need for increased independence?
A) Verbalizing, "We try to do everything we can to make things easier for her." B) Telling you that they now understand that their daughter's chief need is for increased privacy C) Telling you that they are encouraging their daughter in her search for an after-school job D) Saying, "We will always be here for her whenever she needs us."
When assessing the skin surface on a pediatric, you grasp the skin of the abdomen between your thumb and index finger, pull the skin taut and quickly release, and notice 'tenting.' This is a sign of:
A) Abdominal trauma B) Dehydration C) Evisceration D) Meningitis
MC The term "central venous pressure" is defined as
A. Pressure of the circulating blood. B. Pressure of blood returning to the left atrium. C. Pressure of the blood in the pulmonary vein. D. Pressure of blood returning to the right atrium.