COMPLETE SOLUTIONS GRADED A++
A nurse is receiving a change-of-shift report for a group of assigned clients. The
nurse anticipates which of the following activities first in delivering client care
using the nursing process?
a. Analyze client data collected to determine priorities
b. set client-centered, measurable, and realistic goals.
c. collect organize client data
d. determine the effectiveness of interventions
c. collect and organize client data
The nurse is performing a shift assessment on a patient. Which objective data
should the nurse document in the patient's nurse's notes?
a. Patient has a 1 cm bruise on the right forearm
b. patient is complaining of "8" pain on 0-10 scale
c. patient's daughter reports patient is nauseated
d. patient requested a laxative due to feeling constipated
a. patient has a 1 cm bruise on the right forearm
Nurses today complete a nursing education program and practice nursing that
identifies the personal needs of the patient and the role of the nurse in meeting
those needs. Which nursing pioneer is MOST instrumental in the birth of modern
nursing in North America?
,a. Clara barton
b. Lilian wald
c. Lavinia dock
d. Florence nightingale
Florence Nightingale
S.M.A.R.T. goals in professional nursing consist of which of the following?
a. specific, measurable, attitude, relevant, time-limited
b. scientific, meaningful, attainable, researched, time-limited
c. specific, measurable, attainable, relevant, time-limited
d. specific, measurable, attainable, researched, time-limited
c. specific, measurable, attainable, relevant, timely
A patient is admitted to an acute care area. The patient is an active business man
who is worried about getting back to work. He has had severe diarrhea and
vomiting for the last week. He is weak, and his breathing is labored. Using
Maslow's hierarchy of needs, identify this patient's immediate priority.
a. self-actualization
b. air, water, and nutrition
c. safety
d. esteem and self esteem needs
b. air, water, and nutrition
A nurse gathers the following assessment data. Which of the following cues
form(s) a pattern suggesting a problem? (Select all that apply)
1. The skin around the wound is tender to touch
, 2. Fluid intake for 8 hours is 800 mL
3. Patient has a heart rate of 78 and regular
4. Patient has drainage from a surgical wound
5. Body temperature is 101F (38.3 C)
6. Patient asks, "I'm worried that I won't return to work when I planned."
1. skin is tender to touch, 4. patient has drainage from a surgical wound, 5. body temp
of 101F
These form a pattern of a problem with wound healing.
The nurse is applying for a position with a rehabilitation organization that
specializes in spinal cord injury and physical therapy. In doing so, the nurse is
applying to work in which level of care?
a. secondary acute
b. tertiary
c. continuing
d. restorative
d. restorative
Restorative care is designed to help the patient reach optimal recovery from disease or
injury.
The nurse is providing blood pressure screening at the local senior center. This
is an example of which level of prevention?
a. secondary
b. preventative