Which statement indicates that the patient who has had an abdominal hysterectomy needs further home teaching?
a. "I understand I can lift as much as 20 lb."
b. "I'm leaving today to stay with my daughter, who lives 20 miles away. My husband plans to drive the family car."
c. "The doctor said I can't have sexual intercourse for 4 to 6 weeks."
d. "I'm going to miss wearing my girdle or knee-high hose."
ANS: A
If there has been an abdominal incision, there may be further restrictions on heavy lifting (nothing over 10 lb).
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The nurse would expect to hang which of the following intravenous (IV) solution to a client with ascites?
A) Isotonic solution B) Low osmolarity solution C) Hypotonic solution D) Hypertonic solution
The elderly client is at risk to develop dementia as well as delirium. Which of the following statements is correct?
A) Dementia is the only condition that is characterized by changes in memory, judgment, language, mathematic calculation, abstract reasoning, and problem-solving ability. B) Delirium is an acute and reversible syndrome. C) Delirium is easily distinguished from dementia. D) Dementia is reversible and treatable.
Which of the following should the nurse use to document medication administration?
1. Erase each medication from the MAR immediately after administration. 2. Record time administered and nurse's name at once after administration. 3. Record medication administration time, route, and dosage at end of shift. 4. Delegate recording administration time and the nurse's name in the MAR.
An instructor has just completed teaching a class on critical thinking to a group of sophomore nursing students
On the test the instructor asked, "Which of the following are the basic components required for the development of sound critical thinking skills?" Which of the following responses would indicate that further teaching is needed? a. Critical reading c. Critical listening b. Critical writing d. Critical evaluation