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8 Cards in this Set

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Sheila is assigned to a client who has returned from the recovery room following surgery for a colorectal tumor. After an initial assessment Sheila anticipates the need to monitor the client's abdominal dressing, intravenous (IV) infusion, and function of drainage tubes. The client is in pain and will not be able to eat or drink until intestinal function returns. Sheila will have to establish priorities of care in which of the following situations? (Choose all that apply.) 1.
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Sheila's client signals with her call light. Sheila enters the room and finds the drainage tube disconnected, the IV has 100 ml of fluid remaining, and the client has asked to be turned. Which of the following should Sheila perform first? 1.
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In her nursing care plan, Sheila enters expected outcomes for her client. Which of the following expected outcomes are written correctly? (Choose all that apply.) 1.
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Sheila set a time limit for her outcomes. The time frame serves to: 1.
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A client-centered goal is a specific and measurable behavior or response that reflects a 1.
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The nurse writes an expected outcome statement in measurable terms. An example is: 1.
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Sheila's client is experiencing nausea and abdominal distention postoperatively. Sheila initiates the interventions listed below. Which of the interventions are examples of independent interventions? (Choose all that apply.) 1.
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Collaborative interventions are therapies that require: 1.