In which situation would a nurse use the Omaha System Problem Classification Scheme?
a. When measuring client outcomes
b. When collaborating with other professionals
c. When providing health education
d. When organizing a comprehensive assessment
D
The Omaha System Problem Classification Scheme is used to organize a comprehensive assess-ment according to four priority domains.
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The nurse is caring for a patient who has undergone abdominal surgery. The patient stated prior to surgery that "I don't think I'll be able to handle this if I get a colostomy
I wouldn't know how to manage it." There is no "next of kin" listed in the patient's record. The patient is complaining of severe surgical pain. The nurse is correct when addressing which nursing diagnosis first? a. Pain b. Alteration in body image c. Knowledge deficit d. Risk for falls
The side effects of ginkgo biloba include (select all that apply):
A. Bleeding. B. Nausea and vomiting. C. Diarrhea. D. Fishy reflux. E. Headache.
The nurse assessing a patient's skin for signs of impaired skin integrity knowing that a major manifestation is a(n):
a. burn. b. laceration. c. pressure ulcer. d. infection.
While caring for a patient with a right radial arterial line, the nurse assesses that the fingers of the right hand are cool, pale, and dusky. Which intervention would be important to do first?
1. Obtain a blood pressure in the left arm. 2. Try to obtain a pulse using Doppler ultrasound. 3. Notify the physician stat. 4. Flush the arterial catheter and zero the line.