This is a Multiple Response Item. The nurse determines inter…

This is a Multiple Response Item. The nurse determines interventions appropriate for the client’s priority problem by Select the three responses that apply. Type the letters to your answer in alphabetical order using no spaces, commas, or periods. A. Referring to standards of care B. Reading pertinent nursing literature C. Determining the etiology of the problem D. Evaluating ability to perform nursing skills E. Discussing the problem with the client’s family

This is a Multiple Response Item. The patient’s problem is t…

This is a Multiple Response Item. The patient’s problem is the inability to clear his airway related to increased mucous production due to upper airway infection and poor cough effort.  The nurse includes which of the following interventions in the plan of care?    Select the two responses that apply. Type the letters to your answer in alphabetical order using no spaces, commas, or periods.  A.  Encourage increased fluid intake.  B.  Assess level of anxiety.  C.  Encourage coughing and pursed-lip breathing techniques.   D.  Assess calorie count with each meal. 

This is a Multiple Response Item. Accurate prioritization of…

This is a Multiple Response Item. Accurate prioritization of patient problems may be achieved by which of the following? Select the three responses that apply. Type the letters to your answer in alphabetical order using no spaces, commas, or periods. A.  The medical diagnosis B.  Patient clinical status C.  Principles of BLS- Airway – Breathing – Circulation D.  Scheduling of care on the nursing unit E.  Maslow’s Hierarchy of Needs

This is a multiple select item A client states she is embarr…

This is a multiple select item A client states she is embarrassed because she must wear briefs for incontinence. What are appropriate actions by the nurse? Select the three responses that apply. Type the letters to your answer in alphabetical order using no spaces, commas. A. Advise client to cut back on fluids B. Encourage client to verbalize feelings C. Assess client’s urinary elimination pattern D. Discuss available options for incontinence briefs E. Suggest a Foley catheter to client