When should the nurse make systematic observations about a patient?
a. When the patient has specific complaints
b. With the first assessment of the shift
c. Each time the nurse gives medications to the patient
d. Each time the nurse interacts with the patient
D
The nurse should make observations about the patient each time she enters the room or interacts with the patient to gain ongoing data about the patient.
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A nurse assesses a client in an outpatient clinic. Which statement alerts the nurse to the possibility of left-sided heart failure?
a. "I have been drinking more water than usual." b. "I am awakened by the need to urinate at night." c. "I must stop halfway up the stairs to catch my breath." d. "I have experienced blurred vision on several occasions."
The nurse is preparing a presentation on notable nursing figures. In which order, chronologically, should the nurse present this information?
1. Loretta Ford 2. Mary Seacole 3. Lucy Osborne 4. Faye G. Abdellah 5. Cecilia Makiwane
The husband of a patient in active labor asks the nurse to phone him when the baby is delivered because he needs to go to work. Which nursing response respects the husband's culture?
A) Ask if he knows that he can stay with his wife during labor. B) Tell him that all fathers now stay with their wives during labor. C) Tell him he is missing out on the opportunity of a lifetime by leaving. D) Insist he stay with his wife during labor because she will need his support.
A client has been admitted from a nursing home for a workup to determine the cause of several recent falls. What intervention by the nurse takes priority?
a. Obtain a clean catch or catheterized urine specimen. b. Document the number of and causative factors for falls. c. Review the results of recent laboratory work for kidney function. d. Facilitate neurologic and social work consultations.