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Pregunta 1
Pregunta
A nurse is performing an admission assessment for an older adult client. After gathering the assessment data and performing the review of systems, which of the following actions is a priority for the nurse?
Respuesta
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Orient the client to his room.
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Conduct a client care conference.
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Review the client’s medical orders.
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Develop a plan of care.
Pregunta 2
Pregunta
A nurse is admitting a client who has acute cholecystitis to a medical-surgical unit. Which of the following actions are essential steps of the admission procedure? (Select all that apply.)
Respuesta
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Explain the roles of other care delivery staff.
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Begin discharge planning.
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Provide information about advance directives.
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Document the client’s wishes about organ donation.
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Introduce the client to his roommate.
Pregunta 3
Pregunta
A nurse is transferring a client from an acute-care hospital to a rehabilitation facility. Which of the following information about the client should the nurse include in the transfer report? (Select all that apply.)
Respuesta
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Alert and oriented
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Refuses to eat spinach
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Has a shellfish allergy
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Requests morphine every 4 hr
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Misses the two cats he has at home
Pregunta 4
Pregunta
A nurse is preparing the discharge summary for a client who has had knee arthroplasty and is going home. Which of the following information about the client should the nurse include in the discharge summary? (Select all that apply.)
Respuesta
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Advance directives status
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Where to go for follow-up care
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Instructions for diet and medications
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Most recent vital sign data
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Contact information for the home health care agency
Pregunta 5
Pregunta
As part of the admission process, a nurse at a long-term care facility is gathering a nutrition history for a client who has dementia. Which of the following components of the nutrition evaluation is the priority for the nurse to determine from the client’s family?
Respuesta
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Body mass index
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Usual times for meals and snacks
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Favorite foods
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Any difficulty swallowing
Pregunta 6
Pregunta
A nurse is transferring a patient to another unit within the hospital. What sort of things does the transferring nurse need to do prior to transferring the patient? (Select all that apply.)
Respuesta
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Verify room/bed is available
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Provide time patient will leave/arrive
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Bathe the patient
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Complete documentation including transfer form
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