A nurse is caring for a postoperative client whose goal is: “Patient will ambulate 30 feet with assistance and report pain ≤3/10 by the end of the shift.” At the end of the shift, the client ambulates 30 feet with minimal assistance and reports pain of 3/10. The client also states, “I understand why I need to get up and walk.” Which nursing action best demonstrates the evaluation phase of the nursing process?
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What does the second number is a fertilizer analysis indicat…
What does the second number is a fertilizer analysis indicate?
A nurse is assessing an older adult client who has experienc…
A nurse is assessing an older adult client who has experienced an unintentional 12-lb weight loss over the past 2 months. The client reports having little appetite and often eating only one small meal each day. The nurse notes dry, fragile skin, decreased muscle mass, and a wound that has shown little progress toward healing. Laboratory results include a glucose of 186 mg/dL, calcium of 8 mg/dL, and hemoglobin of 12 g/dL. Which combination of findings should the nurse recognize as most consistent with malnutrition?
A nurse is caring for a client recovering from abdominal sur…
A nurse is caring for a client recovering from abdominal surgery. During assessment, the client reports pain of 8/10 when attempting to ambulate and states, “It pulls on my incision when I try to walk.” The nurse develops a plan to improve the client’s mobility and comfort. Which intervention requires collaboration with the health care provider before the nurse can implement it?
A nurse is caring for a client with persistent, unexplained…
A nurse is caring for a client with persistent, unexplained diarrhea and receives an order for a stool culture. Which information should the nurse include when teaching the client about the purpose and procedure for this test? Select all that apply.
A nurse reviews the morning laboratory results for four adul…
A nurse reviews the morning laboratory results for four adult clients on a surgical unit. None of the clients has a history of diabetes mellitus. Which laboratory finding provides the strongest evidence of normal long-term glucose control?
A nurse is caring for a client receiving a continuous entera…
A nurse is caring for a client receiving a continuous enteral feeding through a jejunostomy (J-tube). Which assessment finding should the nurse identify as an indication of feeding intolerance?
The charge nurse observes a newly licensed nurse administeri…
The charge nurse observes a newly licensed nurse administering medications to a client receiving a continuous nasogastric (NG) tube feeding. Which action by the newly licensed nurse requires immediate intervention by the charge nurse?
The two houses of Congress are the Senate and the House of R…
The two houses of Congress are the Senate and the House of Representatives.
True or false: “life, liberty, and the pursuit of happiness,…
True or false: “life, liberty, and the pursuit of happiness,” the “unalienable rights” of the Declaration of Independence, came from the formulation “life, liberty, and property.”