Using all the information gained at the assessment stage to identify actual or potential issues is part of the _______ component of the nursing process
a. first
b. second
c. third
d. fifth
b
The second component of the nursing process is the
identification of individuals' issues.
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You are assessing children in an ambulatory clinic. Which child would be most likely to have iron-deficiency anemia?
A) A 3-month-old boy who is totally breastfed B) A 15-year-old girl who has heavy menstrual periods C) An 8-year-old girl who carries her lunch to school D) A 7-month-old boy who has started table food
A child has been admitted to the hospital unit with a diagnosis of minimal-change nephrotic syndrome (MCNS). The clinical manifestations will include which of the following?
1. Hematuria,bacteriuria,weight gain 2. Gross hematuria,albuminuria,fever 3. Massive proteinuria,hypoalbuminemia,edema 4. Hypertension,weight loss,proteinuria
The nurse is caring for a patient who is receiving PN. As part of therapy, the patient undergoes routine bedside glucose monitoring that reveals which expected outcome?
a. Lower than normal blood glucose to determine adequate tolerance for PN b. Slightly higher than normal blood glucose to meet increased cellular needs c. Slightly higher than normal blood glucose to prevent infection or systemic sepsis d. Normal blood glucose to prevent associated complications
Which "expected outcome" would be developmentally appropriate for a hospitalized 4-year-old child?
a. The child will be dressed and fed by the parents. b. The child will independently ask for play materials or other personal needs. c. The child will be able to verbalize an understanding of the reason for the hospitalization. d. The child will have a parent stay in the room at all times.