Author Question: A client complains to the nurse about getting goose bumps. The client wants to know what causes the ... (Read 56 times)

lidoalex

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A client complains to the nurse about getting goose bumps. The client wants to know what causes the goose bumps. Based on this information, what would be the best information the nurse could give to the client about goose bumps?
 
  1 . Stimulated by cold or fear
  2 . Voluntary muscles contract
  3 . Erect hairs provide an air cushion for the skin
  4 . Pilomotor reflex
  A) 1, 2, 3
  B) 1, 2, 4
  C) 1, 3, 4
  D) 2, 3, 4

Question 2

A nurse is completing documentation on the electronic medical record for a client. The nurse documents the statement that client walked 40 feet with a dog and no shortness of breath twice in 30 minutes.
 
   Which part of the nursing process does this statement represent? A) Nursing assessment
  B) Planning
  C) Implementation
  D) Evaluation



frre432

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Answer to Question 1

C
Feedback:
Stimulated by cold or fear, these involuntary muscles contract, making the hairs stand erect. This phenomenon gives the skin the appearance of goose flesh or goose bumps caused by the pilomotor reflex. These erect hairs provide an air cushion for the skin.

Answer to Question 2

D
Feedback:
Evaluation is the measurement of the effectiveness of the nursing process. The nurse's role in each other step of the nursing process is as follows: nursing assessment: systematic and continuous collection of data. Planning is development of goals and possible activities to meet them. Implementation: giving of actual nursing care.



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