The rehabilitation nurse wishes to make the following entry into a client's plan of care: "Client will reestablish a pattern of daily bowel movements without straining within two months." The nurse would write this statement under which section of the plan of care?
A. Nursing diagnosis/problem list
B. Nursing orders
C. Short-term goals
D. Long-term goals
Ans: D. Long-term goals
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A patient is being treated in the hospital for a femoral fracture and is scheduled to receive his daily dose of metoprolol (Lopressor) that he has been taking for the treatment of hypertension for several years
Prior to administering this drug, the nurse should assess and document which of the following? Select all that apply. A) Oxygen saturation level B) Heart rate C) Potassium level D) Blood pressure E) Capillary refill
A client who is experiencing her first pregnancy has just completed the initial prenatal examination with a certified nurse–midwife. Which statement indicates that the client needs additional information?
1. "Because we heard the baby's heartbeat, I am undoubtedly pregnant." 2. "Since I haven't felt the baby move yet, we don't know if I'm pregnant." 3. "My last period was two months ago, which means I'm two months along." 4. "The increased size of my uterus means that I am finally pregnant."
A 27-year-old female client is undergoing evaluation of lumps in her breasts
In determining whether the client could have fibrocystic breast disorder, the nurse should ask the client whether the breast lumps seem to become more prominent or troublesome at which of the following times? 1. After menses 2. Before menses 3. During menses 4. At any time, regardless of the menstrual cycle
Which of the following is most critical to the nurse in identifying and meeting the needs of acutely ill children?
a. what was learned in class about pediatrics b. all the nurse's physiological and psychological senses c. journal articles with up-to-date information d. the verbal communication of the child