The nurse is beginning the planning stage of the nursing process. Which of the following would NOT be done during this stage?
a. Interpretation of data
b. Establishing priorities
c. Setting goals and developing expected outcomes
d. Documenting the planned nursing approach
ANS: A
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The nurse is planning a health promotion class for adolescents. The presentation is too long. Which topic would be least important and therefore appropriate for the nurse to delete?
a. Stranger danger b. Motor vehicle safety c. Firearm safety d. Alcohol and drug use
The home care nurse is assessing a client who is 10 days postesophagogastrostomy for esophageal cancer. Assessment findings include a temperature of 38° C (101° F), pulse rate of 110, and respirations of 28
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Which nursing intervention will assist in preventing respiratory complications in the client with Parkinson's disease?
A. Keeping an oral airway at the bedside. B. Ensuring a fluid intake of at least 3 L/day. C. Teaching the client pursed-lip breathing techniques. D. Maintaining the backrest elevation at greater than 30 degrees.
What should the nurse plan to teach a patient about smoking and peptic ulcer disease? (Select all that apply.)
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