Which of the following would be considered a nursing implementation?
A) The patient will ambulate twice a day.
B) The patient appears diaphoretic.
C) The patient is at risk for aspiration.
D) The patient is monitored for peripheral edema twice a day.
Ans: D
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A nurse assesses a client who has cholecystitis. Which clinical manifestation indicates that the condition is chronic rather than acute?
a. Temperature of 100.1 ° F (37.8 ° C) b. Positive Murphy's sign c. Light-colored stools d. Upper abdominal pain after eating
The nurse is visiting a patient with cardiac disease who has been experiencing increased episodes of shortness of breath when she tries to exercise. The nurse is concerned that her decrease in activity may lead to:
a. orthostatic hypotension. b. increase risk of heart disease. c. loss of short-term memory. d. worsening shortness of breath.
Mr. Abdul is a 40-year-old Middle Eastern man who presents to the office for a first visit with the complaint of new abdominal pain. You are concerned about violating a cultural prohibition when you prepare to do his rectal examination
The best tactic would be to: a. forego the examination for fear of violat-ing cultural norms. b. ask a colleague from the same geographic area if this examination is acceptable. c. inform the patient of the reason for the examination and ask if it is acceptable to him. d. refer the patient to a provider more know-ledgeable about cultural differences.
Which intervention will provide the most information regarding a patient's self-perception of their role in their environment?
a. Asking the patient to keep a journal about things they enjoy doing b. Observing the patient interact with family members at a unit picnic c. Encouraging the patient to discuss the successes they have experienced d. Helping the patient select appropriate, attractive clothing for family visitation day