Author: Anonymous

The nurse receives a hand-off report on four patients. Which patient finding should the nurse assess first?

A patient states, “I just don’t conform to my gender role.” What does the nurse understand about this statement?

A parent confides to the nurse that the parent’s 3-year-old son seems to be touching his genitals frequently. What response by the nurse is best?

The nurse is providing discharge instructions to a patient who has had sleep alterations. Which statement by the patient indicates further education is needed?

The nurse is caring for a patient who has an ileostomy. Which Nursing diagnosis has the highest priority for the patient?

A nurse is orienting to a new job in a home health care agency and is told that most of her patients need tertiary prevention. What activity does the nurse plan to include in the daily routine?

The nurse is preparing to restart a patient’s intravenous line and discovers that the patient has no usable veins in either arm. When working to solve this problem, the nurse should carry out which action?

The nurse is caring for a patient with a chest tube who was transported to radiology for testing. When the patient returns to the nursing unit, the transporter shows the nurse the patient’s chest tube collection device, which was badly damaged after being caught in the elevator door. What is the priority action of the nurse?

The nurse is caring for a patient who has a 1200 mL daily fluid restriction. The patient has consumed 250 mL with each of the three meals and had another 150 mL with medication administration. The patient has received 150 mL of IV fluids during the day. How many mL of fluid may the patient still consume to stay within the prescribed fluid restriction?

The nurse knows the World Health Organization defines health in which of the following terms?