What is the first intervention included on any patient's plan of care?
a. Determine patient outcomes and goals.
b. Prioritize the patient's nursing diagnoses.
c. Reassess the patient.
d. Assess for a patent airway.
C
Assessment is a continuous process that occurs each time the nurse interacts with a patient. During the initial phase of implementation, reassess the patient. Determining the patient's goals and prioritizing diagnoses take place in the planning phase before choosing interventions. Assessing for a patent airway may or may not be a given patient's first intervention, depending on the goals, priority diagnosis, and reassessment findings of the patient.
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Monica is a nurse researcher. She completes her paperwork for an institutional review board (IRB). Her application for approval is returned to her, with comments as to how it should be revised and resubmitted
Which of the following comments are within the scope of the IRB? (Select all that apply.) a. "You have failed to provide a copy of your survey. Please do so." b. "Your study protocol does not provide information on potential risks to anonymity. Please indicate this in Section 1g." c. "Because of inexperience in this area, the IRB invites you to meet with us as one of the reviewers of this protocol." d. "We can only provide provisional approval of your study." e. "You have not included information about the risk-to-benefit ratio of this research. Please do so."
An important part of fetal surveillance is assessment and documentation of the fetal heart rate during the first stage of labor. In the low-risk patient assessments for variability and periodic changes if using the fetal monitor should be done
a. Every 15-30 minutes b. Every 5-15 minutes c. Every 30-60 minutes d. Only before and after ambulation
Because older adult clients frequently do not present the usual signs and symptoms of urinary tract infection, the major clinical manifestation may be:
a. incontinence c. fever of unknown origin b. signs of acute confusion d. nausea and vomiting
A nurse implements nursing interventions considering the uniqueness of the person's culture. Which of the following best describes this action?
a. Cultural diversity b. Cultural knowledge c. Cultural competence d. Cultural awareness