Test 2: Vital Signs, Communication, and Documentation
A 70-year-old female client had a cholecystectomy four days ago. The client's daughter tells the nurse, "My mother seems confused today." Which question would be best for the nurse to ask in order to assess the client's orientation?
"What day of the week is it?"
Which patient would the nurse consider at risk for low blood pressure?
A patient with low blood volume
An ultrasonic Doppler is used for
Auscultating a pulse that is difficult to palpate
A nurse takes a patient's pulse, respiratory rate, blood pressure, and body temperature. On which form would the nurse most likely document the results?
Graphic sheets
A nurse is maintaining a problem-oriented medical record for a client. Which of the following components of the record describes the client's responses to what has been done and revisions to the initial plan?
Progress notes
The nurse hears a nursing assistant discussing a client's allergic reaction to a medication with another nursing assistant in the cafeteria. What is the highest priority nursing action?
Remind the nursing assistant about the client's right to privacy.
The nurse is finding it difficult to plan and implement care for a patient and decides to have a nursing care conference. What action would the nurse take to facilitate this process?
The nurse meets with nurses or other health care professionals to discuss some aspect of patient care.
Care provided to a client following surgery and until discharge represents which phase of the helping relationship?
Working phase
