The nurse is assessing a patient to collect subjective and objective data. These data will provide the basis for making a:
a. care plan.
b. medical diagnosis.
c. nursing assessment.
d. nursing diagnosis.
D
Nurses rely on assessment of signs and symptoms to formulate a nursing diagnosis.
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The sympathetic nervous system releases chemicals that cause vasoconstriction and increase the blood pressure. When teaching clients about triggers of the sympathetic nervous system, the nurse should advise to:
1. Change dietary habits. 2. Increase fluid intake. 3. Decrease stress. 4. Monitor urinary output.
When teaching about the process of diagnosing Parkinson disease, the nurse tells the patient that a diagnosis is based on:
A) three specific symptoms of Parkinson disease that must all be present. B) a positive CT scan. C) findings on the medical history and neurologic examination. D) only the presence of bradykinesia.
The nurse is assessing an older client's health status. Which comments, made by the client, would indicate that the client's health beliefs are based on the perceived importance of taking action to promote health? Select all that apply.
1. "I should get a physical every year so I can stay healthy." 2. "I know that choosing to eat healthy or not will affect my health now and later on." 3. "I know if I go for walks on a regular basis, I am less likely to have a health problem." 4. "I understand if I continue to go to church and spend time with friends, I will feel less lonely." 5. "I understand if I stop drinking alcohol, I will decrease my chance of liver disease and other health issues."
The nurse explains that symptoms the client with hypothyroidism might experience could include:
A) intolerance to cold and dry skin and menstrual dysfunction. B) weight loss, oily skin, and periorbital edema. C) intolerance to heat and lethargy and headache. D) tachycardia, hypertension, and rapid respirations.