When developing a teaching plan for clients about a disease process, the nurse includes a learning objective to evaluate    

The nurse is developing a plan of care for the client with Fluid Volume, Deficient. The expected outcome for this diagnosis is: The client will  

Azioni

The nurse reviews a client’s medication history and notes that the client takes the cholinergic blocker Detrol (tolterodine). Which is an indication for this medication?  

Which action by the nurse violates the client’s sense of trust?  

The nurse is assessing a client after assisting them to a standing position to prepare for ambulation. Determine whether the current data is concerning or not concerning. Indicate which category by selecting the boxes that are “concerning.” Sitting at bedside Standing Beside Bed Respiratory Rate 18 Respiratory Rate 20 Blood Pressure 144/78 Blood Pressure 128/66 Heart Rate 62 Heart Rate 66 Pulse Ox 96% RA Pulse Ox 95% RA

A male client 86 years of age with a diagnosis of dementia is exhibiting signs and symptoms of pneumonia. The nurse has attempted to assess his temperature using an oral thermometer. The client is unable to follow directions and cannot secure the thermometer sublingually. How should the nurse proceed with this assessment?    

A client who has a sleep disorder is trying stimulus control to improve the amount and quality of sleep. What should the nurse recommend in this type of therapy?  

The nurse is caring for a client with Imbalanced Nutrition: Less than body requirements. The expected outcome is “The client will consume greater than 60% of all meals.” Upon evaluation, the client consumed 25% of breakfast and 30% of lunch. The best action by the nurse is to    

In Hans Selye’s General Adaptation Syndrome (GAS) phase of alarm, which physiologic responses take place?