A nurse writes a nursing diagnosis and includes information about the etiology along with manifestations associated with that etiology. The nurse is demonstrating an understanding of which of the following?
A) Granularity
B) Taxonomy
C) Interface terminology
D) Mapping
A
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An older female adult maintains an active lifestyle playing various games with friends. She reports to the nurse that she experiences wakefulness during the night and an inability to fall asleep after waking up at night
Which intervention should the nurse implement to improve the quality of this woman's sleep? a. Recommend preparation for sleep. b. Suggest trying a cup of warm milk at bedtime. c. Inquire about her nightly sleep rituals. d. Propose volunteer work at a thrift shop.
A patient taking diltiazem (Cardizem) for hypertension has come to the clinic for a follow-up appointment. What adverse effects would the nurse assess the patient for?
A) Chest pain and pale skin B) Shortness of breath and wheezing C) Peripheral edema and bradycardia D) Tachycardia and increased energy level
The nurse is assessing a patient with cholelithiasis. Which statements by the patient indicate a progression to cholecystitis?
Select all that apply. 1. "I've been in terrible pain for 2 hours." 2. "I'm hot and sweating, then cold and shivering." 3. "The pain's in the same location as when I had appendicitis." 4. "I need an emesis basin; I've vomited four times." 5. "My abdomen and my back both hurt."
The nurse is preparing to administer intravenous aminophylline infusion and should question which of the following prescriptions?
a. infuse at 25 gtts/min using a microdripper b. monitor client for tachycardia c. draw aminophylline blood level 48 hours after initiation of infusion d. warm solution to room temperature prior to administration