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A charge nurse is reviewing the steps of the nursing
process with a group of nurses. Which of the following
data should the charge nurse identify as objective data?
(Select all that apply)
A. Respiratory rate is 22/min with even, unlabored
respirations.
B. The client's partner states, "He said he hurts after
walking about 10 minutes."
C. Pain rating is 3 on a scale of 0 to 10
D. Skin is pink, warm, and dry.
,E. The assistive personnel reports the client walked with a
limp. - ANSWER-A. Respiratory rate is 22/min with even,
unlabored respirations.
D. Skin is pink, warm, and dry.
E. The assistive personnel reports the client walked with a
limp.
A charge nurse is talking with a newly licensed nurse and
is reviewing nursing interventions that do not require a
provider's prescription. Which of the following interventions
should the charge nurse include? (Select all that apply.)
A. Writing a prescription for morphine sulfate as needed
for pain.
,B. Inserting a nasogastric (NG) tube to relieve gastric
distention.
C. Showing a client how to use progressive muscle
relaxation.
D. Performing a daily bath after the evening meal. E.
Repositioning a client every 2 hr to reduce pressure ulcer
risk. - ANSWER-C. Showing a client how to use
progressive muscle relaxation.
D. Performing a daily bath after the evening meal. E.
Repositioning a client every 2 hr to reduce pressure ulcer
risk.
A nurse is discussing the nursing process with a newly
hired nurse. Which of the following statements by the
, newly hired nurse should the nurse identify as appropriate
for the planning step of the nursing process?
A. "I will determine the most important client problems that
we should address."
B. "I will review the past medical history on the client's
record to get more information.
C."I will go carry out the new prescriptions from the
provider."
D."I will ask the client if his nausea has resolved." -
ANSWER-A. "I will determine the most important client
problems that we should address."
A nurse is caring for a client who is 24 hr postoperative
following an inguinal hernia repair. The client is tolerating