Which of the following describes the most important use of nursing diagnosis (all statements are true)?
1) Differentiates the nurse's role from that of the physician
2) Identifies a body of knowledge unique to nursing
3) Helps nursing develop a more professional image
4) Describes the client's needs for nursing care
ANS: 4
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As death approaches, a patient with AIDS says, "I do not have enough energy for many visitors anymore, and I am embarrassed about how I look. I only want to see my parents and sister.". What action should the nurse take?
a. Support the patient to share the request with the parents and sister. Suggest that they inform the patient's friends of the request. b. Encourage the patient to reconsider this decision. Interested and caring friends can be sources of support. c. Suggest that the patient discuss these wishes with the health care provider. d. Place a "No Visitors" sign on the patient's door.
The nurse earlier infused the prescribed quantity of dialysate into the peritoneal dialysis catheter of an adult patient and has now drained the fluid
Upon examination, the nurse observes that there is significantly less fluid removed than was earlier infused. How should the nurse follow up this observation? A) Adjust the quantity of dialysate used in the next scheduled dialysis treatment accordingly. B) Inform the care provider and arrange for peritoneal lavage. C) Inform the hemodialysis team and facilitate a hemodialysis treatment. D) Reposition the patient to facilitate drainage from the peritoneal cavity.
When communities are the focus for the nurse, what prevention strategies can be applied by the nurse using primary prevention when an outbreak of measles occurs in the community?
A) Facilitating people to do self-screening B) Increasing the public's awareness of health problems C) Lobbying for adequate services and resources D) Facilitating people to do referrals when issues arise
Which of the following regarding jugular venous pulsations is a systolic phenomenon?
A) The “y” descent B) The “x” descent C) The upstroke of the “a” wave D) The downstroke of the “v” wave