A nurse interviews a pregnant teenager and documents her answers on the patient record. At the same time, the nurse responds to the patient's concerns and makes a referral for counseling and maternity care
This scenario is an example of which of the descriptors of the nursing process?
A) systematic B) dynamic C) outcome oriented D) universally applicable
B
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The nurse is caring for an 8-year-old and anticipates that the client has otitis externa from symptoms stated on the history. Which symptoms, from the history and physical examination, would confirm the diagnosis?
A) Discomfort in the ear B) Difficulty hearing C) Pus noted in the ear canal D) Inflammation around the tympanic membrane
A nursing student is doing a project using the OSH program to evaluate a local workplace. What is the first step?
A. Evaluate the workplace, looking for hazards. B. Perform a community and workplace cultural assessment. C. Perform medical screening on all employees. D. Collect routine health data on all employees
A patient is admitted to the labor and delivery unit with contractions that are 2 minutes apart, lasting 60 seconds. She reports that she had bloody show earlier that morning
A vaginal exam reveals that her cervix is 100 percent effaced and 8 cm dilated. The nurse knows that the patient is in which phase of labor? 1. Active 2. Latent 3. Transition 4. Fourth
A client is a potential candidate for electroconvulsive therapy and is in the pretreatment evaluation process. Which of the following orders should the nurse question?
A) Obtain a complete metabolic panel and electrocardiography. B) Inform client to fast after midnight the day before the procedure. C) Obtain baseline of symptoms. D) Administer succinylcholine.