Fundamentals Practice Practice B : A nurse receives a report about a client
Fundamentals Practice Practice B : A nurse receives a report about a client
Q 1 A nurse receives a report about a client who has0/9% sodium chlorideinfusing IV at 125 mL/hr. When the nurse performs the initial assessment, he notes that the client has received only 80 ml over the last 2 hr. Which of the following action should the nurse take first?
- Check the cord routinely for frays or tearing
- Consider purchasing a generator for power backup
- Observe for signs of hypoxia
- Check the IV tubing for obstruction
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Q2 What is the rationale for using the nursing process in planning care for clients?
- As a scientific process to identify nursing diagnoses of a clients’ healthcare problems.
- To establish a nursing theory that incorporates the biopsychosocial nature of humans.
- As a tool to organize thinking and clinical decision making about clients’ healthcare needs.
- To promote the management of client care in collaboration with other healthcare professionals. Fundamentals Practice Practice B : A nurse receives a report about a client
Q3 What activity should the nurse use in the evaluation phase of the nursing process?
- Ask a client to evaluate the nursing care provided.
- Document the nursing care plan in the progress notes.
- Determine whether a client’s health problems have been alleviated.
- Examine the effectiveness of nursing interventions toward meeting client outcomes.
Q4 Which statement is an example of a correctly written nursing diagnosis statement?
- Altered tissue perfusion related to congestive heart failure.
- Altered urinary elimination related to urinary tract infection.
- The risk for impaired tissue integrity related to the client’s refusal to turn.
- Ineffective coping is related to response to positive biopsy test results.
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