Solutions
Ethel a 90 year old dementia patient is crying and asking to
speak with her mother. The best response from the nurse would
be:
"Ethel tell me about your mother"
Which of the following types of documentation is represented
by the statement, "Patient is wheezing and experiencing some
difficulty breathing on exertion".
The 'O' in SOAP documentation
Which of the following is true regarding nursing documentation
in Ontario?
Documentation practices in Ontario incorporate "Charting by
Exception".
The patient is found to be unresponsive and not breathing. To
determine the presence of central blood circulation and
circulation to the brain, the nurse checks the patient's ________
pulse.
carotid
, Which of the following techniques is appropriate for the nurse to
implement to obtain a clean-voided urine specimen?
Collect the specimen after the initial stream of urine has passed.
Which of the following nursing interventions is likely to have
the most impact on reducing friction when moving the 100-kg
immobile patient up in the bed?
using a transfer board
A patient who suffers from dementia wanders at night. This is a
phenomenon called:
sundowning
A patient informs the nurse that she often becomes nauseated
when riding in motor vehicles. The nurse knows that this is
related to which sensory deficit?
balance defecit
An example of anticipatory grieving is:
Preparing yourself for the impending death
You are taking care of a patient who has lips that are slightly
blue in colour. This is known as:
cyanosis
braden scale
scale for pressure ulcers
Wong-Baker Faces scale
scale for pain assessment