The main purpose of the Nursing Interventions Classification (NIC) system is to
a. evaluate nursing interventions
b. develop nursing interventions
c. sort, label, and describe nursing interventions
d. remove those interventions from the national list that are not appropriate
C
The Nursing Interventions Classification (NIC) system is a standardized language that describes nursing interventions performed in all practice settings. NIC is a method for linking nursing interventions to diagnoses and patient outcomes. The format for each intervention includes label name, definition, list of activities that a nurse performs to carry out the intervention, and a list of background readings. NIC offers standardized language for research on nursing interventions and is a tool for determining the reimbursement for nursing services.
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A pregnant woman states that she is concerned about her gums because she has noticed they are swollen and have started bleeding. What would be an appropriate response by the nurse?
a. "Your condition is probably due to a vitamin C deficiency." b. "I'm not sure what causes swollen and bleeding gums, but let me know if it's not better in a few weeks." c. "You need to make an appointment with your dentist as soon as possible to have this checked." d. "Swollen and bleeding gums can be caused by the change in hormonal balance in your system during pregnancy."
A patient is being cared for in the CCU after a ruptured cerebral aneurysm. The nurse finds new onset of hemiparesis, slight lethargy, and complaints of diplopia. What complication does the nurse suspect?
A) Aneurysm rebleed B) Increased intracranial pressure C) Cerebral artery vasospasm D) Carbon dioxide retention
An older woman tells the nurse practitioner that she fears her family will place her in a nursing home because she developed stress incontinence. Which recommendation should the nurse im-plement?
a. Tell her to eliminate the use of caffeinated beverages. b. Coordinate a family conference with the older adult. c. Recommend exercises to strengthen the pelvic floor. d. Schedule voiding for every 2 hours around the clock.
Which of the following statements by older adult clients should the nurse interpret as a potential pathological process rather than a normal age-related change?
A) "Food just doesn't seem to have as much taste as it did when I was younger.". B) "I feel like it takes so much longer to digest my meals than it used to.". C) "Even when I have a bowel movement it often doesn't feel like it's complete.". D) "I tend to regurgitate a lot of my food after a meal these days.".