Which of the following is an appropriate goal for a resident who has a history of falling?
a. Resident will be walked by physical therapy assistant two times a day
b. Resident will have no falls in the next 90 days
c. Resident will be toileted q2h for the next week to prevent falls
d. Resident will be assessed for complaints of dizziness or unsteadiness for the next 90 days
B
Response B is a measurable, realistic, specific, time-related, and attainable goal. Responses A, C, and D are nursing and physical therapy interventions and not goals.
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A pregnant woman visits a clinic visit during her 21st week of pregnancy. The nurse identifies edema, hypertension, and proteinuria. The nurse recognizes these signs as indicative of a(n):
a. allergy. b. protein deficiency. c. circulatory problem. d. gestational hypertension.
Which of the following is true of the Cochrane Center and Cochrane Collaboration, begun in the 1970s by Professor Archie Cochrane? (Select all that apply.)
a. It was originally called the Walter Reed Army Institute of Research. b. It developed the original master's degrees in nursing practice. c. It serves as a repository for evidence-based practice guidelines. d. It was the first association to publish a nursing research journal. e. It is the online library resource for research literature reviews.
If a trauma patient arrives in the emergency department (ED) via ambulance, the priority nursing assessment would include:
1. Airway management with cervical spine immobilization. 2. Insertion of two large-bore IV catheters. 3. Insertion of Foley catheter. 4. Assessing level of consciousness and ability to follow commands.
The nurse is conducting a nutritional assessment for a patient who states, "I feel like I become blind at night. I am really scared to drive sometimes." Which nutrient will the nurse recommend to this patient based on this data?
1) Vitamin A 2) Vitamin C 3) Riboflavin 4) Niacin