The logical end product of nursing assessment is best described as the
a. nursing evaluation c. nursing implementa-tion
b. nursing diagnosis d. nursing plan
B
The nursing diagnosis must be developed from the data gained from an assessment. The appropriate nursing diagnosis is selected based upon data cues. From the nursing diagnoses, the plan is generated, followed by implementation of the plan. Nursing evaluation occurs once interventions have been provided.
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A patient is started on morphine via patient-controlled analgesia (PCA) to control persistent cancer pain. The nurse knows that to prevent central nervous system (CNS) depression the patient should do which of the following?
a. Monitor IV site for patency. b. Monitor the patient closely for the 15 minutes. c. Record baseline blood pressure and respiratory rates before the start of the medication. d. Give a small dose of naloxone prior to starting the morphine.
A client reports confusion about having an alcoholic drink prior to retiring for the evening. What information can the nurse provide to the client to promote understanding?
A) Alcohol can increase the time needed to fall asleep. B) Alcohol is disruptive of the second half of the sleep cycle. C) Alcohol can enable an individual to sleep through the entire night. D) Alcohol has an initially depressant effect.
Nurse managers are able to respond better to ethical dilemmas when they have access to the organization's:
a. mission and vision. b. patient safety plan. c. medical staff bylaws. d. ethics committee.
During a phone call to the clinic the nurse suspects that a pregnant client is experiencing preeclampsia. What manifestations did this client report that caused the nurse to make this clinical determination? Select all that apply
1. Double vision 2. Epigastric pain 3. Facial swelling 4. Painful urination 5. Severe headache