A nurse notes a patient has abnormal vital signs. What action by the nurse is best?
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The nurse is providing care to a post-stroke patient on the…
The nurse is providing care to a post-stroke patient on the rehabilitation floor with a nursing diagnosis of Impaired health maintenance. Which goal is most appropriate on day one?
The nurse receives a hand-off report on four patients. Which…
The nurse receives a hand-off report on four patients. Which patient finding should the nurse assess first?
The nurse knows changes in which body system affect overall…
The nurse knows changes in which body system affect overall mobility increasing the propensity of falling?
A patient states, “I just don’t conform to my gender role.”…
A patient states, “I just don’t conform to my gender role.” What does the nurse understand about this statement?
A parent confides to the nurse that the parent’s 3-year-old…
A parent confides to the nurse that the parent’s 3-year-old son seems to be touching his genitals frequently. What response by the nurse is best?
The nurse is caring for a patient with a history of type 1 d…
The nurse is caring for a patient with a history of type 1 diabetes. Which assessment finding indicates to the nurse that the patient may not be compliant with the diabetic treatment regimen?
A nurse is orienting to a new job in a home health care agen…
A nurse is orienting to a new job in a home health care agency and is told that most of her patients need tertiary prevention. What activity does the nurse plan to include in the daily routine?
The nurse is caring for a patient who has an ileostomy. Whic…
The nurse is caring for a patient who has an ileostomy. Which Nursing diagnosis has the highest priority for the patient?
The nurse is caring for a patient who is to collect a 24-hou…
The nurse is caring for a patient who is to collect a 24-hour urine specimen. Which statement by the patient indicates that additional teaching is required?