Fluid losses occur as the result of vomiting, diarrhea, a high temperature, the presence of ketoacidosis, diuretic medications and other causes. -footboards used to prevent foot drop!! 3. Which of the following types of transmission precautions should the nurse initiate? Emotional or mental stress -Heat to increase blood flow and to reduce stiffness Some outputs that are not measurable include respiratory vapors that are exhaled during the respiratory cycle and fluid losses from sweating. Consider purchasing a generator for power backup. Fluid Imbalances: Calculating a Client's Net Fluid Intake Include volume intake to get a net fluid balance calculation as well (assuming no other fluid losses) Weight, total urine output, hours, and fluid intake. Percentage weight change calculation (weight change over a specified time): % weight change = (Usual weight - present weight / usual weight) x 100 Greater than 2% in 1 week indicates a significant weight loss. Educating the client and family members about the modified diet and the need for this new diet in terms of the client's health status is also highly important and critical to the success of the client's dietary plan and their improved state of health and wellness. You'll get a detailed solution from a subject matter expert that helps you learn core concepts. She worked as a registered nurse in the critical care area of a local community hospital and, at this time, she was committed to become a nursing educator. The answer will have a profound effect on the situation and the client. -Assess for manifestations of breakdown. Some of the assistive devices that can be used to accommodate for clients' weaknesses and to promote their independent eating include items like weighted plates, scoop dishes, food guards around the plate, assistive utensils, weighted and tip proof drinking glasses and cups. dehydration and fluid overload Caluculate, Fluid intake from the tube feedings Which of the following findings should the nurse identify as a potential indication of abuse? A nurse is planning teaching for a group of adolescents who each recently had surgical placement of an ostomy. For example, if a package of frozen food like chicken nuggets states that there are 2500 calories per package and there are 3 servings in each package, each serving will have about 833 calories when a person eats 1/3 of the package of chicken nuggets. What is the nurse responsible for in monitoring I&O? Continuous tube feedings are typically given throughout the course of the 24 hour day. Leave 1-2 inches of catheter at end of penis, Urinary Elimination: Maintaining an Indwelling Urinary Catheter (ATI pg. RegisteredNursing.org Staff Writers | Updated/Verified: Feb 10, 2023. Which of the following are ionic compound, and which are covalent compounds: RbCl,PF5,BrF3\mathrm{RbCl}, \mathrm{PF}_5, \mathrm{BrF}_3RbCl,PF5,BrF3. or Mobility and Immobility: Preventing Thrombus Formation (ATI pg. -make sure it's below level of bladder, Urinary Elimination: Preventing Skin Breakdown (ATI pg 256). She has authored hundreds of courses for healthcare professionals including nurses, she serves as a nurse consultant for healthcare facilities and private corporations, she is also an approved provider of continuing education for nurses and other disciplines and has also served as a member of the American Nurses Associations task force on competency and education for the nursing team members. %%EOF The doctor is notified when the residual volume is excessive and when the tube is not patent or properly placed. 127, Head and Neck: Assessing Visual Acuity Using a Snellen Chart (ATI pg 146), -Use to screen for myopia. Instruct the patient or family members to call nurse or NAP to: 1. empty contents of urinal, urine hat, or commode each time patient uses it. When the nurse performs the initial assessment, he notes that the client has received only 80 mL over the last 2 hrs. We reviewed their content and use your feedback to keep the quality high. -Help with personal hygiene needs or a back rub prior to sleep to increase comfort. Observe for signs of hypoxia. Marie Wegener - DSDS-Gewinnerin 2018 . -Limit waking clients during the night. Which of the following actions should the nurse add to the client's plan of care? -Elevation of edematous extremities to promote venous return and decrease swelling. Ex. Pg. A nurse on a medical unit is preparing to discharge a client to home. Critical Points - Topics to Review Topic to Review: ____Nutrition and oral hydration Sub-item: __ Fluid Imbalances: Calculating a Client's Net Fluid Intake Three Critical Points 1.___Fluid intake include any liquid taken in the body 2.____The fluid intake could be oral fluids, ice chips, tube feeding, parenteral fluids, intravenous . A nurse is caring for a client who has a terminal diagnosis and whose health is declining. -Work related injuries or exposures. 2. unconscious patients The body mass index is calculated using the client's bodily weight in kg and the height of the client in terms of meters. Sensory Perception: Evaluating a Client's Understanding of Hearing Aid Use (ATI pg. 2. fluids with medications, Step 10 c. Measure and record all fluid intake: %PDF-1.7 % Which of the following should the nurse plan to document on the client's intake and output record as 120 mL of fluid? Talk directly to the client, instead of the interpreter, when speaking. Which of the following instructions should the nurse include in the teaching? Step 12. -Limit alcohol and caffeine 4 hr before bed. 220), -position client using corrective devices (ex. -Ankle pumps: point toes toward the head and then away from the head. Serial bodyweights are an accurate method of monitoring fluid status One of the most sensitive indicators of patient volume status changes is their bodyweight. Which of the following foods should the nurse suggest that the client ass to his diet? -remove stockings EVERY 8 hours Discharge Care -sleep deprivation Sleep environment All diets, including these special diets, must be modified according to the client's cultural preferences, religious beliefs and personal preferences to the greatest extent possible. a graduated container clearly marked with: learn more TEST YOUR A & P KNOWLEDGE This online practice exam for Anatomy and Physiology is designed to test your general knowledge. The mathematical rule for calculating the client's BMI is: BMI = kg of body weight divided by height in meters squared. View hVio7+0e'VY@iSo[ip=rB Pad the client's wrist before applying the restraints. Which of the following responses should the nurse make? Enteral nutrition is given to clients when, for one reason or another, the client is not getting sufficient calories and/or nutrients with oral meals and eating. -Cutaneous stimulation- transcutaneous electrical nerve stimulation(TENS) heat, cold, therapeutic touch, and massage. Which of the following methods should the nurse use as a psychomotor approach to learning? Which of the following should the nurse plan to document on the client's intake and output record as 120 mL of fluid? Which of the following actions should the nurse take as part of the medication reconciliation process? Which one of the following statement is not equivalent to the other two (assuming that the loop bodies are the same? Step 11. An x-ray shows the end of the tube above the pylorus. Make sure the client wears a mask when outside her room if there is construction in the area. I will be sure to remove my hearing aid before taking a shower.. For which of the following clients should the nurse consult the provider before using this complementary therapy? ATI Palliative Hospice Care Activity Gero Sim Lab 2 (CH) Business PLAN OF Pusong Lumpia; QSO 321 1-3: Triple Bottom Line Industry Comparison; Newest. The calculations for both of these variables were discussed above. Which of the following actions should the nurse take first? A nurse is providing discharge teaching to a client who has a new prescription for a home oxygen concentrator. -turn on music to comfort them, Integumentary and Peripheral Vascular Systems: Findings to Report From a Skin Assessment, Older Adults (65 Years and Older): Identify Expected Changes in Development, Older Adults (65 Years and Older): Teaching About Manifestations of Delirium, -infection (especially UTI-first manifestation!!!) When the nurse notifies the surgeon, he directs her to continue to measure the client's vitals every 15 minute and call him back in 1 hour. 34% to 40% for Males. In combination, these forces push fluids into the interstitial spaces. -Release no faster than 2-3 mmHg per second In addition to these calculations, the nurse must also be knowledgeable about what is and what is not a good body mass index or BMI. The aging population as well as Infants and young children are at greatest risk for fluid imbalances and the results of these imbalances. 3.change in weight. Food drug interactions will be more fully discussed in the "Pharmacological and Parenteral Therapies" sections in the subtitled topic "Providing Information to the Client on Common Side Effects/Adverse Effects/Potential Interactions of Medications and Informing the Client When to Notify the Primary Health Care Provider". how to delete saved games on sims 4 pc; magaddino memorial chapel haunted; -Evaluate both eyes. Many people on a weight reduction diet or a diet to increase their weight are based on calories counts. A nurse is caring for a client who has a terminal illness and is approaching death. A nurse is preparing to administer 750 mL of 0.9% sodium chloride IV to infuse over 7 hours. blue line trax schedule; selena gomez makeup ulta; george m whitesides net worth; Media. For example, clients who are affected with cancer may have an impaired nutritional status as the result of anorexia related to the disease process and as the result therapeutic chemotherapy and/or radiation therapy; other clients can have an acute or permanent neurological deficit that impairs their nutritional status because they are not able to chew and/or safely swallow foods and still more may have had surgery to their face and neck, including a laryngectomy for example, or a mechanical fixation of a fractured jaw, all of which place the client at risk for nutritional status deficiencies. -Apply cuff 2.5 cm 1 in) above antecubital space Make sure two fingers can fit under the sleeves. -If they get frustrated, stop and come back Ask the client's family members if they would like to view the body . Young adults at risk for: Explain to the patient and family: Step 10. aMeasure and Record all fluid intake: When the nurse asks if the client would like to discuss any concerns, the client declines. For example, the client is assessed using the A, B, C and Ds of a nutritional assessment in addition to the use of some standardized tools such as the Patient Generated Subjective Global Assessment and the Nutrition Screening Inventory. The mathematical rule for calculating this ideal weight for males and females of small, medium and large body build are: Some clients need management in terms of weight reduction and others may need the assistance of the nurse and other health care providers, such as a registered dietitian, in order to gain weight. Reduced skin turgor vs. edema, 1. daily A nurse is completing an admission assessment of an older adult client. -related to change in surroundings, Thorax, Heart, and Abdomen: Client Teaching About Breast Self-Examination. Clients must be encouraged to drink these supplements as ordered and the client's flavor preference should also be considered and provided to the client whenever possible. -Discomfort (look at ATI page 334 for more details) Ethical Responsibilities: Responding to a Client's Need for Information About Treatment, Grief, Loss, and Palliative Care: Responding to a Client Who Has a Terminal Illness and Wants to Discontinue Care, Information Technology: Action to Take When Receiving a Telephone Prescription, Information Technology: Commonly Used Abbreviations, Information Technology: Documenting in a Client's Medical Record, Information Technology: Identifying Proper Documentation, Information Technology: Information to Include in a Change-of-Shift Report, Information Technology: Maintaining Confidentiality, Information Technology: Receiving a Telephone Prescription, Legal Responsibilities: Identifying an Intentional Tort, Legal Responsibilities: Identifying Negligence, Legal Responsibilities: Identifying Resources for Information About a Procedure, Legal Responsibilities: Identifying Torts, Legal Responsibilities: Nursing Role While Observing Client Care, Legal Responsibilities: Responding to a Client's Inquiry About Surgery, Legal Responsibilities: Teaching About Advance Directives, Legal Responsibilities: Teaching About Informed Consent, The Interprofessional Team: Coordinating Client Care Among the Health Care Team, The Interprofessional Team: Obtaining a Consult From an Interprofessional Team Member, Therapeutic Communication: Providing Written Materials in a Client's Primary Language, Adverse effects, Interactions, and Contraindications: Priority Assessment Findings, Diabetes Mellitus: Mixing Two Insulins in the Same Syringe, Dosage Calculation: Calculating a Dose of Gentamicin IV, Dosage Calculation: Correct Dose of Diphenhydramine Solution, Intravenous Therapy: Inserting an IV Catheter, Intravenous Therapy: Medication Administration, Intravenous Therapy: Priority Intervention for an IV Infusion Error, Intravenous Therapy: Promoting Vein Dilation Prior to Inserting a Peripheral IV Catheter, Intravenous Therapy: Recognizing Phlebitis, intravenous Therapy: Selection of an Intravenous Site, Pharmacokinetics and Routes of Administration: Enteral Administration of Medications, Pharmacokinetics and Routes of Administration: Preparing an Injectable Medication From a Vial, Pharmacokinetics and Routes of Administration: Self-Administration of Ophthalmic Solutions, Pharmacokinetics and Routes of Administration: Teaching About Self-Administrationof Clotrimazole Suppositories, Safe Medication Administration and Error Reduction: Administering a Controlled Substance, Safe Medication Administration and Error Reduction: Con rming a Client's Identity, Airway Management: Performing Chest Physiotherapy, Airway Management: Suctioning a Tracheostomy Tube, Client Safety: Priority Action When Caring for a Client Who Is Experiencing a Seizure, Fluid Imbalances: Indications of Fluid Overload, Grief, Loss, and Palliative Care: Manifestations of Cheyne-Stokes Respirations, Pressure Injury, Wounds, and Wound Management: Performing a Dressing Change, Safe Medication Administration and Error Reduction: Priority Action When Responding to a Medication Error, Vital Signs: Caring for a Client Who Has a High Fever, Coping: Manifestations of the Alarm Stage of General Adaptation Syndrome, Coping: Priority Intervention for a Client Who Has a Terminal Illness, Data Collection and General Survey: Assessing a Client's Psychosocial History, Grief, Loss, and Palliative Care: Identifying Anticipatory Grief, Grief, Loss, and Palliative Care: Identifying the Stages of Grief, Grief, Loss, and Palliative Care: Providing End-of-Life Care, Grief, Loss, and Palliative Care: Therapeutic Communication With the Partner of a Client Who Has a Do-Not-Resuscitate Order, Self-Concept and Sexuality: Providing Client Support Following a Mastectomy, Therapeutic Communication: Communicating With a Client Following a Diagnosis of Cancer, Therapeutic Communication: Providing Psychosocial Support, Therapeutic Communication: Responding to Client Concerns Prior to Surgery, Airway Management: Collecting a Sputum Specimen, Bowel Elimination: Discharge Teaching About Ostomy Care, Complementary and Alternative Therapies: Evaluating Appropriate Use of Herbal Supplements, Diabetes Mellitus Management: Identifying a Manifestation of Hyperglycemia, Electrolyte Imbalances: Laboratory Values to Report, Gastrointestinal Diagnostic Procedures: Education Regarding Alanine Aminotransferase (ALT) Testing, Hygiene: Providing Oral Care for a Client Who Is Unconscious, Hygiene: Teaching a Client Who Has Type 2 Diabetes Mellitus About Foot Care, Intravenous Therapy: Actions to Take for Fluid Overload, Nasogastric Intubation and Enteral Feedings: Administering an Enteral Feeding Through a Gastrostomy Tube, Nasogastric Intubation and Enteral Feedings: Preparing to Administer Feedings, Nasogastric Intubation and Enteral Feedings: Verifying Tube Placement, Older Adults (65 Years and Older): Expected Findings of Skin Assessment, Preoperative Nursing Care: Providing Preoperative Teaching to a Client, Thorax, Heart, and Abdomen: Priority Action for Abdominal Assessment, Urinary Elimination: Selecting a Coud Catheter, Vital Signs: Palpating Systolic Blood Pressure, Client Safety: Care for a Client Who Requires Restraints, Client Safety: Implementing Seizure Precautions, Client Safety: Planning Care for a Client Who Has a Prescription for Restraints, Client Safety: Priority Action for Handling Defective Equipment, Client Safety: Priority Action When Responding to a Fire, Client Safety: Proper Use of Wrist Restraints, Ergonomic Principles: Teaching a Caregiver How to Avoid Injury When Repositioning a Client, Head and Neck: Performing the Weber's Test, Home Safety: Client Teaching About Electrical Equipment Safety, Home Safety: Evaluating Client Understanding of Home Safety Teaching, Home Safety: Teaching About Home Care of Oxygen Equipment, Infection Control: Caring for a Client Who Is Immunocompromised, Infection Control: Identifying the Source of an Infection, Infection Control: Implementing Isolation Precautions, Infection Control: Isolation Precautions While Caring for a Client Who Has Influenza, Infection Control: Planning Transmission-Based Precautions for a Client Who Has Tuberculosis, Infection Control: Protocols for Multidrug-Resistant Infections, Infection Control: Teaching for a Client Who is Scheduled for an Allogeneic Stem Cell Transplant, Information Technology: Action to Take When a Visitor Reports a Fall, Information Technology: Situation Requiring an Incident Report, Intravenous Therapy: Action to Take After Administering an Injection, Medical and Surgical Asepsis: Disposing of Biohazardous Waste, Medical and Surgical Asepsis: Performing Hand Hygiene, Medical and Surgical Asepsis: Planning Care for a Client Who Has a Latex Allergy, Medical and Surgical Asepsis: Preparing a Sterile Field, Nursing Process: Priority Action Following a Missed Provider Prescription, Safe Medication Administration and Error Reduction: Client Identifiers, Chapter 6. pg.162-164 Monitoring Intake and O, Virtual Challenge: Timothy Lee (head-to-toe), Nursing 110 Exam 1 - Diagnostic testing/Lab v, Julie S Snyder, Linda Lilley, Shelly Collins. For example, a client with a chewing disorder, such as may occur secondary to damage to the trigeminal nerve which is the cranial nerve that controls the muscle of chewing, may have impaired nutrition in the same manner that these clients are at risk: Clients with a swallowing disorder are often assessed and treated for this disorder with the collaborative efforts of the speech and language therapist, the dietitian, the nurse and other members of the health care team. A nurse is performing a skin assessment of a client who has a lesion on his anterior thigh and expresses concern about skin cancer. gloves and dispose in proper receptacle and perform hand hygiene. What is the normal urine specimen gravity? Step 3. -Cognitive-behavioral measures- changing the way a client perceives pain, and physical approaches to improve comfort. Which of the following statements should the nurse identify as an indication that the client understands the preoperative teaching she received about pain management? Edema is most often identified in the dependent extremities such as the feet and the legs; however, it can also become obvious with unusual abdominal distention and swelling. Administer the medication with the needle at a 45 degree angle. -open ended questions The method above is quite cumbersome because it entails weighing the food and then calculating the number of calories. *****AVOID: crossing legs, sitting for long periods, wearing restrictive clothing on the lower extremities, putting pillow behind the knee, massaging legs Nurses assess edema in terms of its location and severity. 1. antacids This interactive, online tutorial was designed to break down and simplify one of the most difficult subjects in nursing school, Pharmacology. -clarifying A nurse is admitting a client who is having an exacerbation of heart failure. A 27-year-old who has schizophrenia. What will the amplitude be if the total energy is doubled? * look at page 148, Health Promotion and Disease Prevention: Stages of Health Behavior Change, Hygiene: Bathing a Client Who Has Dementia, -Let them know what you are doing. A nurse is calculating a client's fluid intake over the past 8 hr. Recording the clients weight, total urine output, hours, and fluid intake Description of Skill Indications Outcomes/Evaluation CONSIDERATIONS Nursing Interventions (pre, intra, post) Potential Complications Client Education Nursing Interventions ACTIVE LEARNING TEMPLATES TherapeuTic procedure A9 Fluid excesses, also referred to as hypervolemia, is an excessive amount of fluid and sodium in the body. Assess the client for orthostatic hypotension. A nurse is caring for a client who has a respiratory infection. Weight clients at the same time , same amount of linen and reset the scale to 0 if possible The nurse opens the sterile field on a wet surface. Which of the following assessment findings indicates that the catheter requires irrigation? -Verify suction equipment functions properly, Nutrition and Oral Hydration: Advancing to a Full Liquid Diet (ATI pg 223), Clear liquids plus liquid dairy products, all juices. If using bed scale, use the same amount of linen each day and reset the scale to zero if possible. A nurse is caring for a client who is postoperative following knee arthroplasty and requires the use of a thigh-length sequential compression device. -Periodontal disease due to poor oral hygiene A nurse is calculating a client's fluid intake over the past 8 hr. edema, reduced cardiac output, and hypotension. Each must have urine receptacles labeled with 1. name 2. bed location Step 11. Sign to alert medical personnel of I&O measurement. Step 8. Edema is an abnormal collection of excessive fluids in the interstitial and/or intravascular spaces. endstream endobj 350 0 obj <>/Metadata 13 0 R/Pages 347 0 R/StructTreeRoot 17 0 R/Type/Catalog/ViewerPreferences 369 0 R>> endobj 351 0 obj <>/MediaBox[0 0 612 792]/Parent 347 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 352 0 obj <>stream The client's respirations are noisy from secretions in her airway and she is short of breath. A nurse is caring for a client who has an aggressive form of prostate cancer. For example, if the client will be eating a 14 grams of plain tuna fish, the number of calories can be calculated by multiplying 14 by 4 which would be 56 calories. Many times test questions will give you the amount in ounces (oz), but we record intake and output in milliliters (mL). These clients should have attractive and preferred food preferences and, at times, they may need dietary supplements and medications to stimulate their appetite. -Cover opposite eye. 1.Maintaining standard precautions related to body fluids. total parenteral nutrition solutions Clients at risk for inadequate fluid intake include those who are confused and unable to communicate their needs. -PCM help lower BP (pot,calc,mag), Vital Signs: Assessing Temperature Using a Temporal Artery Thermometer, -usually 0.5 degrees C higher than oral and 1 degree C higher than axillary. -Consider switching the tube to the other naris Place a name tag on the body. Bruises on the arms in various stages of healing. She got her bachelors of science in nursing with Excelsior College, a part of the New York State University and immediately upon graduation she began graduate school at Adelphi University on Long Island, New York. A nurse working in the Emergency Department is witnessing the signing of informed consent forms for the treatment of multiple clients during her shift. Calculate and chart extra fluid with meals, including juice, soup, ice cream and sherbet, gelatin, water on trays.Before the client is reading for preop the client needs to be NPO to prevent aspiration Not assessing the patient output and intake can cause potentially serious problems such as edema, reduced cardiac output, and hypotension. When fluid gains, and fluid retention, is greater than fluid losses, fluid excesses occur. 232), -Antiembolic stockings Bowel Elimination: Assisting a Client to Use a Fracture Pan, We use fracture pans for supine patients and for patients in body casts or leg casts.For client using a fracture pan, raise the head of the bed to 30 DEGREES (semi-Fowler's : 30-45 degrees), Complementary and Alternative Therapies: Contraindications for Receiving Acupuncture, Complementary and Alternative Therapies: Contraindications for the Use of Magnet Therapy, Complementary and Alternative Therapies: Identifying Potential Medication Interactions With Ginkgo Biloba, Ergonomic Principles: Safely Transferring a Client From the Bed to a Chair, -Use two or more people to transfer patient, Fluid Imbalances: Assessment Findings of Extracellular Fluid Volume Deficit (CP card #164). Basic Concept safe medication Administration error reduction, Medication Template Isophane Insulin NPH (Humulin N, Novolin N), RUA Medication Teaching Plan - Abolanle Salami, NR 324 Chapter 017 Med Surg electrolytes sheet-3, NR 324 Week 3 Lab Prep - NR 324 Week 3 Lab Prep, Med surg Altered Fluid and Electrolyte Balance, Nursing Skill Performing a Catheter irrigation, Medical/Surgical Nursing Concepts (NUR242), Organizational Theory and Behavior (BUS 5113), Managing Projects And Programs (BUS 5611), Elementary Physical Eucation and Health Methods (C367), Communication As Critical Inquiry (COM 110), Foundation in Application Development (IT145), Variations in Psychological Traits (PSCH 001), Fundamental Human Form and Function (ES 207), Foundational Concepts & Applications (NR-500), Accounting Information Systems (ACCTG 333), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Lesson 12 Seismicity in North America The New Madrid Earthquakes of 1811-1812, Sociology ch 2 vocab - Summary You May Ask Yourself: An Introduction to Thinking like a Sociologist, Lesson 8 Faults, Plate Boundaries, and Earthquakes, How Do Bacteria Become Resistant Answer Key. To convert oz to mL, simply multiply the amount of oz by 30. Current life events A pH > 6 indicates that the tube is improperly placed in the respiratory tract rather than the gastrointestinal tract. Intermittent tube feedings are typically given every 4 to 6 hours, as ordered, and the volume of each of these intermittent feedings typically ranges from 200 to 300 mLs of the formula that is given over a brief period of time for up to one hour. Course: NR 324 ADULT HEALTH. "I am available to talk if you should change your mind.". Which of the following actions should the nurse plan to take first? learn more ATI Nursing Blog Specific risk factors associated with fluid excesses include poor renal functioning, medications like corticosteroids, Cushing's syndrome, excessive sodium intake, heart failure, hepatic failure and excessive oral and/or intravenous fluids. A nurse enters a client's room ad finds her on the floor. When working with the client through an interpreter, which of the following actions should the nurse take? -pain Apply clean gloves. A nurse is giving a change-of-shift report about a client he admitted earlier that day who has pneumonia. -summarizing Step 13 e. Gastric drainage/ Larger drainage pouches by: opening clamp and pouring into a graduated cup with a 240 mL capacity.`. A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0-10. These modifications must be explored and discussed with the client; alternatives should be offered and discussed and the closer these alternative options are to the client's preferences, the greater the client's adherence to their dietary plan will be. A nurse in a provider's office is obtaining the health and medication history of a client who has a respiratory infection. A nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints. The relative severity of these nutritional status deficits must be assessed and all appropriate interventions must be incorporated into the client's plan of care, in collaboration with the client, family members, the dietitian and other members of the health care team. View A nurse is reviewing evidence-based practice principles about administration of oxygen therapy with a newly licensed nurse. Promote excellence in nursing by enabling future and current nurses with the education and employment resources they need to succeed. Which of the following actions should the nurse take? "We need to document the exact mediation you were taking because you might be allergic to it.".
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