Which is the primary purpose for the documentation of a rapid assessment? Select all that apply.
A. Establish a baseline for ongoing care.
B. Prioritize nursing interventions.
C. Create a care plan for the client.
D. Communication tool for the client's condition.
E. Prioritize nursing actions.
Answer: E
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A child is being discharged from the hospital after a three-week stay following a motor vehicle collision. The mother expresses concern about caring for the child's wounds at home
She has demonstrated appropriate technique with medication administration and wound care. The priority nursing diagnosis is: 1. Knowledge Deficient related to home care. 2. Family Processes, Altered related to hospitalization. 3. Parental Anxiety related to care of the child at home. 4. Infection, risk for related to presence of healing wounds.
An older adult who has an MI may not have any chest pain and instead may complain of
a. Nausea and dyspnea b. Severe constipation c. Headache and intense hunger d. Pain in the joints
The nurse is educating a patient on a vegan diet. What supplement will the nurse encourage this patient to take to avoid a deficiency?
a. B6 b. B12 c. K d. D
A patient is receiving a series of diagnostic tests to confirm the diagnosis of osteoarthritis (OA)
The nurse would interpret which results as supporting the diagnosis of OA? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Presence of antinuclear antibodies in blood 2. Asymmetrical joint cartilage loss seen on X-ray 3. Increased erythrocyte sedimentation rate (ESR) in blood 4. Bone spurs visible on computed tomography (CT) 5. Increased bone density in Dexa scan