Answer to Question 1
ANS: A
The nurse needs to assess the patient's skin. Assessment should not be delegated; it is the responsibility of the licensed professional nurse. The nurse needs to document the assessment findings objectively, not subjectively per the nursing assistant. Before requesting a consult or determining treatment, the nurse needs to assess the skin.
Answer to Question 2
ANS: C
The nurse needs to intervene if observing the technician taking an oral temperature after consuming any type of beverage because of the potential for a temperature difference in the liquid that may affect the patient's measured temperature. The other options are appropriate.
Pneumonia. This common lung inflammation may be caused by bacteria, viruses, or fungi and is often d
Nursing diagnositic process - risk for infection
The Location of Visual Area V5
The patient's signature on the informed consent form indicates that the patient understands the
Each patient is greeted by the receptionist.
Oral pseudo membraneous candidiasis in a patient with AIDS.