In the prenatal clinic, a patient who is in her eighth month of pregnancy complains of backaches. Further questioning reveals that the pain is in the lower back region and is worse at the end of the day
The patient has no discomfort on voiding. She is working part-time as a file clerk. She has children ages 2 and 5 years. The nurse thinks the patient's backaches are probably due to improper bending and lifting. This attempt to determine the nature of the patient's complaint and possible causes reflects which step of the nursing process?
a. Assessment
b. Diagnosis
c. Planning
d. Evaluation
ANS: B
To make a nursing diagnosis, the nurse pulls together related data that pinpoint a problem and help reveal contributing factors.
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The pediatric nurse is caring for a child who weighs 44 pounds. The physician has ordered methylprednisolone sodium succinate (Solu-Medrol), 0.03 mg/kg/d IV in normal saline. How many milligrams of medication will the nurse prepare?
A) 6.5 B) 6 C) 0.65 D) 0.6
What assessment findings would the nurse expect to see in a patient who overdosed on levothyroxine (Synthroid)?
A) Nervousness, tachycardia, tremors B) Somnolence, bradycardia, paresthesia C) Hyperglycemia, hypertension, edema D) Buffalo hump, constipation, sodium loss
A clinic nurse in an immigrant community has observed that some children have small burned areas on their skin. One child has a burn that has become infected
On exploration, the nurse learns that the burns are applied as a folk remedy for temper tantrums. What is the nurse's most appropriate initial response? a. Tell the parents that this type of treatment is ignorant b. Ask the family if the treatment has been effective c. Report the family to Child Protective Services d. Explain the legal consequences of this behavior
Which assessment data would indicate compromised gastrointestinal function?
1. Bowel sounds active in all four quadrants 2. Clay color stool 3. Increased appetite 4. Semisolid and moist stool