What is an example of an appropriate nursing diagnosis?
a. Impaired skin integrity
b. Skin breakdown noted
c. Turn patient every 2 hours
d. The patient has scabies on his back
ANS: A
"Impaired skin integrity" is an example of a nursing diagnosis. "Skin breakdown noted" is an example of a charting entry, "turn patient every 2 hours" is a nursing intervention, and "scabies" is a medical diagnosis.
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A family member of a patient with delusions of persecution asks the nurse, "Are there any circumstances under which the treatment team is justified in violating a patient's right to confidentiality?" The nurse should reply that confidentiality
may be breached: a. under no circumstances. b. at the discretion of the psychiatrist. c. when questions are asked by law enforcement. d. if the patient threatens the life of another person.
Which of the following agencies regulates drugs in the United States?
a. Agency for Health Research and Quality b. Centers for Substance Abuse Prevention c. National Institute on Drug Abuse d. The Food and Drug Administration
According to The Joint Commission, which of these statements about pain and its management is TRUE?
a. Clients are assumed to experience some degree of pain at all times. b. Staff must take special courses to be competent in pain management. c. Pain assessment is considered to be the "fifth" vital sign. d. There must be evidence that the least expensive, most effective pain medications are used.
A client is to receive filgrastim (Neupogen) as a granulocyte-stimulating factor. The nurse recognizes that this medication should not be given when the client has:
a. severe myelosuppression. b. a history of hypertension. c. received cytotoxic agents less than 24 hours before. d. a neutrophil count lower than 500.