To determine whether her patient has responded favorably to a nursing intervention, a staff nurse should observe the client for:
a. improved health.
b. increased complaints.
c. outcome indicators.
d. signs and symptoms.
C
Indicators are defined as "valid and reliable measures related to performance" (Oermann & Hu-ber, 1999). According to the American Nurses Association, indicators measure how nursing care affects clients and therefore would provide evidence of a patient's response to treatment.
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What is the treatment of choice for a woman whose pregnancy history includes habitual abortions as the result of an incompetent cervix?
a. a dilation and curettage or suction evacuation b. induction with oxytocin c. surgical treatment with cerclage at 16 weeks followed by cesarean delivery at term d. treatment with tocolytics to halt the process and bed rest until viability can be reached
A 66-year-old patient tells the nurse, "It is time for my annual tetanus vaccine.". The nurse would respond that it is recommended that a person this age receive the tetanus vaccine every ______ years
Fill in the blank(s) with correct word
The nurse notes evisceration of the client's abdominal incision. Which nursing intervention is the priority before collaborating with the surgeon?
1. Reinforce the wound with a dry sterile dressing. 2. Use Steri-Strips to approximate the wound edges. 3. Ask the client whether coughing or activity is the cause. 4. Cover area with saline solution–moistened sterile towels.
Which of the following statements made by a client would indicate that she has delusions of grandeur?
A) "I am a magician, and my magic powers are good when the moon is full." B) "I let my baby die. I don't deserve to live." C) "I hear messages from aliens that tell me to steal cars." D) "I can't eat this food. It's poisoned."