Wart on eyelid rim

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wart on eyelid rim

The nursing process provides a framework for a nurse's responsibility and  accountability. It requires critical thinking.

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Subjective data from a primary source B. Subjective data from a secondary source C. Objective data from a primary source D. Objective data from a secondary source Answer: A Rationale: Subjective data is apparent only to the person affected and cannot be measured, seen, felt, or heard by the nurse.

The patient is always considered the primary source. Hogan et. The nurse is measuring the patient's urine output and straining the urine to assess for stones.

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Which of the following should the nurse record as objective data? The patient's urine output was mL C. The patient is complaining of abdominal pain D.

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Which of the following demonstrates that the nurse is participating critical thinking? The nurse admits she does not know how to do a procedure and requests help B. The nurse makes her point with clever and persuasive remarks to win an argument C. The nurse accepts without question the values acquired in nursing school D. The nurse finds a quick and logical answer, even to complex questions Answer: A Wart on eyelid rim Critical thinking is self-directed and supports what an individual knows and makes clear what she does not know.

It is important for nurses to recognize when they lack the knowledge they need to provide safe care for a client. Nurses must utilize their wart on eyelid rim to acquire the knowledge and support they need to fulfill a nursing responsibility safely.

wart on eyelid rim

None, goal is written correctly B. It is not measurable C.

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No target time is given D. There is no time estimate for goal attainment. Thus, option A is incorrect. When evaluating an adult patient's blood pressure reading. The nurse considers the patient's age. This is an example of which of the following?

Comparing data against standards B.

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Clustering data C. Determining gaps in the data D.

Differentiating cues and inferences Answer: A Rationale: Analysis of the client data blood pressure reading requires knowledge of the normal blood pressure range for an adult. The nurse compares client data against standards to identify significant cues.

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Jason has a nursing diagnosis of ineffective airway clearance related to excessive secretions and is at risk for infection because of retained secretions. The appropriate position to drain the anterior and posterior apical segment of the lungs when the nurse does percussion would be: A.

Patient lying on his back then flat on his abdomen on Trendelenburg position B. Patient seated upright in bed or on a chair then leaning forward in sitting position then flat on his back and on his abdomen C. Patient lying flat in his back and then flat on his abdomen D.

wart on eyelid rim

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Patient lying on his right then left side on Trendelenburg position Answer: B Rationale: Chest physiotherapy is a dependent nursing wart on eyelid rim that uses principles of percussion, vibration and postural drainage to drain thick tenacious bronchial secretions.

Percussion wart on eyelid rim done by clapping cupped hand over the affected lobe of the lung. Patients with posterior segment of the upper lobe affectation should be positioned in a sitting and leaning forward position and flat on bed dorsal recumbent with pillow under the buttocks for anterior segment of upper lobe affectation.

Color, amount, consistency of sputum B.

CHAPTER 1 Procedures on Nervous System

Relation between human papillomavirus and cervical cancer of breath sounds and respiratory rate before and after procedure C. Amount of fluid intake of the patient before and after the procedure D. Significant changes wart on eyelid rim vital signs Answer: C Rationale:  Though patients receiving Chest Physiotherapy are encouraged wart on eyelid rim increase oral fluid intake, this intervention is not too specific for documentation of pertinent data related to the procedure.

When assessing Jason for chest percussion or chest vibration and postural drainage, Nurse Melai would focus on the following, except: A. Amount of fluid taken during the last meal before treatment B. Respiratory rate, breath sounds and location of congestion C.

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Nurse Melai prepares Jason for postural drainage and percussion. Which of the following is a special consideration when doing the procedure? Respiratory rate of per minute B. Patient can tolerate sitting and lying positions C.

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Patient has no sign of infection D. Time of the last food and fluid intake of the patient Answer: D Rationale:  The time of last food and fluid intake of the client is very important for the nurse to assess. The best time to perform chest physiotherapy is 1 hour before meals or hours after meals to prevent food and fluid regurgitation or vomiting.

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The purpose of chest percussion and vibration is to loosen secretions in the lungs. The difference between the procedures is: A.

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Percussion uses only one hand while vibration uses both hands B. Percussion delivers cushioned blows to the chest with cupped palms while vibration gently shakes secretion loose wart on eyelid rim the exhalation cycle C. Percussion slaps the chest to loosen secretions while vibration shakes the secretions with inhalation of air Answer: B Rationale: Option B is the correct comparison.

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Situation 3. The vital signs are body temperature, pulse, respirations, and blood pressure.