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A nurse is performing an initial assessment for a client. Which of the following would be considered subjective information received during the assessment?
When planning nursing care for a client, objectives should be SMART. Specific, measurable, action-oriented, realistic, and timely. Which example best describes an outcome that is measurable?
A nurse is caring for a 2-day-old infant who requires phototherapy for treatment of jaundice. Which information would be included as part of the nurse’s subjective assessment?
A nurse is assessing a client who is being admitted to the hospital from home for knee surgery. Which part of the assessment would be included with an admission assessment but not with a routine focused assessment?
The nurse is planning care for a client and prioritizes health promotion and accident prevention. Which of the following age groups does this client most likely fall into, with accidents and injuries from recreational activities as the main health concern?
A nurse is planning care for a postpartum client with the goal of preventing the development of a DVT. Which of the following should be included? Select all that apply.
A nurse has started working in a clinic where many of the clients do not speak English. While the nurse has some working knowledge of a couple of other languages beyond English, the nurse is not fluent enough to easily communicate with most of the clients. Which actions would best represent the nurse’s attempts to implement cross-cultural care in this practice setting? Select all that apply.
A nurse is caring for a client who has been sexually abused. Which of the following interventions should the nurse implement to establish rapport and to demonstrate safety?
A nurse is giving report about the nurse’s clients to the oncoming group of nurses who are taking over the next shift. The nurse uses the clients’ care plans to organize report information before presenting it to the group. Which would best describe the purpose of using a care plan for giving shift report?
A nurse has assessed a client during the admission and is formulating a nursing care plan based on the provider’s orders and results of the assessment. Which of the following is a true statement regarding a nursing care plan?