As the LPN/LVN discusses the care plan with the other staff, they note the following characteristics of a client's "at risk for" nursing diagnosis: Standard Text: Select all that apply
1. Problem statement
2. Factors contributing to the response
3. The words "related to"
4. Defining characteristics manifested by the client
5. Deviation from health
1,2,3
Rationale 1: A problem statement is part of the "at risk for" nursing diagnosis.
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A child is admitted to the hospital with suspected hemolytic uremic syndrome (HUS). Laboratory results indicate elevated BUN, creatinine, and potassium. Which action by the nurse takes priority?
A. Administer antibiotics. B. Apply cardiac monitoring. C. Insert a urinary catheter. D. Obtain a stool sample.
What might a patient from the American Indian culture use to prevent disease?
A. Wear certain objects or charms as a preventive measure B. Perform specific daily rituals against disease C. Deny that disease or illness can harm a person D. Accept that disease is a part of life
Which is an example of an expected outcome?
a. Turn, cough, and deep breathe every 2 hours. b. The patient will maintain nutritional status. c. The patient will walk the length of the corridor twice a day by the second day after surgery. d. The patient has gained 3 pounds.
A nurse in graduate school takes a class on political science as an elective. She was able to identify strategies to stay abreast of current legislative and public policy issues
What is the easiest way to stay abreast of current legislative and public policy issues? A) Printed materials of political bills B) Electronic media of political decisions C) Web site review of publications D) Receipt of periodic legislative reports