The nurse reviewing medical records finds that nurses working in a particular hospital state nursing diagnosis in terms of the client's limitations to maintaining self-care. The record reviewer determines that this nursing service follows which theorist?
1. Orem
2. Roy
3. Benner
4. Leininger
Correct Answer: 1
Orem's work is the self-care deficit theory of nursing. Roy's work is the Adaptation Model. Benner's work focuses on the development of a nurse from novice to expert. Leininger's work focuses on cultural aspects of care.
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A patient is admitted to the critical care unit following coronary artery bypass surgery
Two hours postoperatively, the nurse assesses the following information: pulse is 120 beats/min; blood pressure is 70/50 mm Hg; pulmonary artery diastolic pressure is 2 mm Hg; cardiac output is 4 L/min; urine output is 250 mL/hr; chest drainage is 200 mL/hr. What is the best interpretation by the nurse? a. The assessed values are within normal limits. b. The patient is at risk for developing cardiogenic shock. c. The patient is at risk for developing fluid volume overload. d. The patient is at risk for developing hypovolemic shock.
Consider the following essentials of care after a patient has overdosed on drugs, and rank them in the order of their importance
a. Eliminate the substance from the body. b. Stabilize the patient. c. Reverse the toxic substance's effects and manage any complications. d. Identify the toxic substance. e. Support the patient and significant others (physically and psychologically).
Concerning violence against women—intimate partner violence (IPV)—nurses should be aware that:
1. relationship violence usually consists of a single episode that the couple can put behind them. 2. violence often declines or ends with pregnancy. 3. economic coercion is considered a part of IPV. 4. most battered women are generally poorly educated and from a deprived social background.
Which lab test is most indicative that a patient has refeeding syndrome?
A. A serum albumin level of 3.0 g/dL B. Hemoglobin of 10.0 g/dL C. Prealbumin level of 17 mg/dL D. Serum phosphate level of less than 0.6 mmol/L