A newly licensed registered nurse is working with a preceptor on the acute care unit. He is developing the nursing care plan for a newly admitted client. The primary nursing diagnosis is knowledge deficit related to pre- and postoperative care
After developing goal statements for the plan, the preceptor reviews them. Which of the goal statements is most appropriate?
A) The client will understand the prescribed medications.
B) The nurse will administer the prescribed medications.
C) The client will be afibrile during the postoperative period.
D) The client will verbalize understanding of the preoperative medications prior to surgery.
D
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A 14-year-old boy who has been diagnosed with Osgood-Schlatter disease reports painful swelling just below the knee for the past 5 months
Which response by the nurse is appropriate? a. "If these symptoms persist, you may need arthroscopic surgery." b. "You are experiencing degeneration of your knee, which may not resolve." c. "Your disease is due to repeated stress on the patellar tendon. It is usually self-limited, and your symptoms should resolve with rest." d. "Increasing your activity and performing knee-strengthening exercises will help decrease the inflammation and maintain mobility in the knee."
During a psychiatric unit meeting, a client from Asia is making a statement that no one seems to understand. Which action would indicate that the nurse was using therapeutic communication principles?
a. Insist that the client from Asia be quiet until the meeting is over. b. Assess the nonverbal quality of this client's communication. c. Ask the other clients what they think the client from India is saying. d. Make an interpretation, and act on it in responding to this client.
A nurse is the subject of a lawsuit and attempts to demonstrate that her behavior was appropriate. To demonstrate this most effectively, the nurse should do which of the following?
a. Call an expert witness to testify that the behavior was prudent and reasonable for a nurse in such a situation. b. Hire an attorney who will argue that the physician was responsible for the nurse's behavior. c. Describe how the textbooks used while the nurse was enrolled in nursing education endorsed the action that the nurse performed. d. Explain that the client asked the nurse to engage in that behavior, and the client has the authority to decide on personal care.
A nurse is preparing to teach about brain tumors. Which information should the nurse include? The most common type of brain tumor in children is:
a. Neuroblastoma b. Astrocytoma c. Meningioma d. Germ cell