Which of the following is a disadvantage of standardized care plans?
1. They may be implemented without being individualized.
2. They reduce the amount of writing required.
3. They must be updated when change of health status occurs.
4. They can be initiated shortly after admission.
ANS: 1
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The client having her second child is scheduled for a cesarean birth because the baby is in a breech presentation. The client states, "I'm wondering what will be different this time compared with my first birth, which was vaginal
" What response is best? 1. "We'll take good care of you and your baby. You'll be home before you know it." 2. "You'll be wearing long stockings to prevent blood clots from forming in your legs." 3. "You will have a lot of pain, but there are medications that we give when it gets bad." 4. "You won't be able to nurse until the baby is 12 hours old, because of your epidural."
Trailing zeros are necessary to avoid misinterpretation of a value. ______
Indicate whether the statement is true or false.
A patient is diagnosed with respiratory acidosis. Which health problems should the nurse consider as causing this patient's diagnosis? (Select all that apply.)
a. Anxiety b. Kidney failure c. Hyperventilation d. Shallow respirations e. Chronic lung disease f. Uncontrolled diabetes
For a patient with a nursing diagnosis of "Fluid volume excess," the nurse is alert to which one of the following signs and symptoms?
a. Tachycardia b. Hypertension c. Dry mucous membranes d. Fever