Answer to Question 1
ANS: 3
Florence Nightingale believed the role of the nurse was to put the client's body in the best state in order to remain free of disease or to recover from disease.
Although Florence Nightingale may have addressed meeting the psychological needs of her cli-ents, it is not the focus of her theory. The goal of Nightingale's theory is to facilitate the body's reparative processes by manipulating the client's environment.
Florence Nightingale thought the human body had reparative properties of its own if it was cared for in a way to recover from disease. Her theory did not focus on achieving a maximal level of wellness.
Florence Nightingale believed the nurse was in charge of the client's health. Although she inter-acted with her clients by reading to them, her theory of nursing care did not focus upon interper-sonal interactions.
Answer to Question 2
Correct Answer: 2, 3, 4
Rationale 1: Body temperature may help determine fluid status; however, this is not documented in the medical record related to the client's continuous intravenous fluid infusion.
Rationale 2: The type of solution and flow rate should be documented.
Rationale 3: Total intravenous intake for the shift should be documented according to agency policy.
Rationale 4: The status of the intravenous insertion site should be documented.
Rationale 5: Blood pressure may help determine fluid status; however, this is not documented in the medical record related to the client's continuous intravenous fluid infusion.
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