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The nursing process provides a framework for a nurse's responsibility and accountability. It requires critical thinking. Subjective data from a primary source B. Subjective data from a secondary source C.
Objective data from a primary source D.
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Objective data from a secondary source Answer: A Rationale: Subjective data is apparent only to the person affected and cannot be measured, seen, felt, or heard by the nurse. The patient is always considered the primary source.
Nursing care plan newborn circumcision nursing care plan newborn circumcision The nurse then needs to 26 Nov chapter 10 Nursing Care of the Newborn Objectives 1.
Hogan et. The nurse is measuring the patient's urine output and straining the urine to assess for stones.
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Which of the following should the nurse record as objective data? The patient's urine output was mL C.
The patient is complaining of abdominal pain D. Which of the following demonstrates that the nurse is participating critical thinking? The nurse admits she does not know how to do a procedure and requests help B. The nurse makes her point with clever wart virus lifespan on surfaces persuasive remarks to win an argument C.
The nurse accepts without question the values acquired in nursing school D. The nurse finds a quick and logical answer, even to complex questions Answer: A Rationale: Critical thinking is self-directed and supports what an individual knows and wart virus lifespan on surfaces wart virus lifespan on surfaces what she does not know.
It is important for nurses to recognize when they lack the knowledge they need to provide safe care wart virus lifespan on surfaces a client. Nurses must utilize their resources to acquire the knowledge and support they need to fulfill a nursing responsibility safely. None, goal is written correctly B.
It is not measurable C. No target time wart virus lifespan on surfaces given D. There is no time estimate for goal attainment.
Thus, option A is incorrect. When evaluating an adult patient's blood pressure reading. The nurse considers the patient's age. This is an example of which of the following?
Comparing data against standards B. Clustering data C.
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Determining gaps in the data D. Differentiating cues and inferences Answer: A Rationale: Analysis of the client data blood pressure reading requires knowledge of the normal blood pressure range for an adult. The nurse compares client data against standards to identify significant cues.
Jason has a nursing diagnosis of ineffective airway clearance related to excessive secretions and is at cancerul trandafirului tratament for infection because of retained secretions. The appropriate position to drain the anterior and posterior apical segment of the lungs when the nurse does percussion would be: A.
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Patient lying on his back then flat on his abdomen on Trendelenburg position B. Patient seated upright in bed or on a chair then leaning forward in sitting position then flat on his back and on his abdomen C. Patient lying flat in his back and then flat on his abdomen D. Patient lying on his right then left side on Trendelenburg position Answer: B Rationale: Chest physiotherapy is a dependent nursing function that uses principles of percussion, vibration and postural drainage to drain thick tenacious bronchial secretions.
Percussion is done by clapping cupped hand over the affected lobe of the lung. Patients with posterior segment of the upper lobe wart virus lifespan on surfaces should be positioned in a sitting and leaning forward position and flat on bed dorsal recumbent with pillow under the buttocks for anterior segment of upper lobe affectation.
Color, amount, consistency of sputum B.
Character of breath sounds and respiratory rate before and wart virus lifespan on surfaces procedure C. Amount of fluid intake of the patient before and after the procedure D. Significant changes in vital signs Answer: C Rationale: Though patients receiving Chest Physiotherapy are encouraged to increase oral fluid intake, this intervention is not too specific for documentation of pertinent data related to the procedure.
When assessing Jason for chest percussion or chest vibration and postural drainage, Nurse Melai would focus on the following, except: A.