with Questions and Answers.
The nurse assessing a client's foot wound is unsure if the underlying
cause is related to arterial or venous insufficiency. Realizing that the
plan of care will differ based on the underlying pathology, what is the
best action for the nurse to take? - ✔✔Consult with a more
experienced nurse.
1. Time Dependent Priorities
2. Client Needs Priorities
3. Client Preference Priorities - ✔✔1. Medication administration
-Medication peak and trough measurement
-Intake and output totals
-Surgery
2. Cardiac arrest
-Discharge teaching
-Confusion
-Abnormal laboratory value
-Low blood pressure
3. Fresh water
-Softer pillow
-Change of clothing
, -Pencil to complete the crossword puzzle
Change of Plans Scenario - ✔✔1445- No Change
1500- No Change
1600- Higher Priority
1700- No Change
1800- Higher Priority
1900- Higher Priority
2000- Lower Priority
2100- Lower Priority
2200- No Change
2230- No Change
Mr. Smith, recovering from a stroke, asks the nurse where his wallet is
and says he is worried about his credit cards and the $64 in cash he had
when he was first admitted. After looking around the room, in drawers
and through his clothing without locating the wallet, the nurse checks
the valuables inventory completed when Mr. Smith was admitted.
What is the best response by the nurse after seeing this information in
the EHR? - ✔✔"According to the admission valuables inventory you did
not have a wallet or cash when you arrived. You did have a watch and
ring that was sent home with your son, though. Is it possible he also has
your wallet?"