When reviewing the client nursing care plan, the nurse notes which of the following components in each nursing diagnosis? Standard Text: Select all that apply
1. Diagnostic label
2. Defining characteristics
3. Qualifiers
4. Etiology
5. Question
1,2,4
Rationale 1: The problem, or diagnostic label, describes the client's health problem or response.
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When is it appropriate for the nurse to prepare a new ostomy pouch for a client?
1. After removing the old pouch in all instances 2. Before removing the old pouch in all instances 3. Before removing the old pouch whenever possible 4. After removing the old pouch whenever possible
A patient presents to the clinic complaining of symptoms that suggest diabetes. What criteria would support checking blood levels for the diagnosis of diabetes?
A) Fasting plasma glucose greater than or equal to 126 mg/dL B) Random plasma glucose greater than 150 mg/dL C) Fasting plasma glucose greater than 116 mg/dL on 2 separate occasions D) Random plasma glucose greater than 126 mg/dL
A postoperative patient is complaining of incisional pain. An order has been given for morphine every 4 to 6 hours PRN. The first assessment by the nurse should be to:
1. assess for the presence of bowel sounds. 2. assess pupillary reaction. 3. ask the patient's family if she is having pain. 4. see when the patient last received pain medication.
Which client will most likely seek prenatal care?
a. Janice, 15 years old, tells her friends, "I don't believe I am pregnant." b. Carol, 28 years old, is in her second pregnancy and abuses drugs and alcohol. c. Margaret, 20 years old, is in her first pregnancy and has access to a free prenatal clinic. d. Glenda, 30 years old, is in her fifth pregnancy and delivered her last infant at home with the help of her mother and sister.