The scope of nursing includes more than following a medical order or performing an isolated task. Which of the following statements best describes the scope of nursing?
A) Nursing involves the care of aging, ill people and emphasizes the promotion of their highest possible quality of life and wellness.
B) The needs of the client for self-care drive the nursing process.
C) The nursing process involves a holistic approach to individuals and the care they require.
D) The nursing role is to focus on the sick, rather than the well, who are more representative of the older population.
C
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The other choices are not applicable. Choice A describes the role of gerontological nursing, though while denoting older adults as "ill.". Choice B does not describe a scope. Choice D describes the negativism in education programs of the past.
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The nurse is caring for a client diagnosed with a high-risk pregnancy related to multiple pregnancy. An appropriate nursing goal for this client is:
1. Client will carry the pregnancy to full term. 2. Client will relate strategies for prolonging pregnancy and reducing complications. 3. Client will experience no complications related to multiple birth. 4. Client will deliver healthy babies at term.
As part of a patient's admission assessment, the nurse has assessed the patient's blood pressure (BP) and achieved a reading of 133/78 . What physiological factors contribute to the patient's blood pressure reading?
A) Cardiac output multiplied by peripheral vascular resistance B) The differences between preload and afterload during systole and diastole C) Stroke volume multiplied by total vascular space D) Heart rate multiplied by mean heart contractility
A 33-year-old female complains of episodes of weakness of the left side of the face. Drooping of the left eyelid and weakness of the jaw muscle develops gradually throughout the day, and it is worse at night than the morning
The patient has a medical-surgical history of cholecystectomy at age 30. Otherwise, patient has no history of illness and takes no medications. Denies use of tobacco or alcohol. On physical examination, vital signs are T 98 degrees, 18 resps/min, pulse 66, and BP 110/60. Ptosis of the left eyelid is noted. Vision: 20/20 os, 20/20 od, and 20/20 ou. Heart: regular rate and rhythm, no murmurs. Lungs are clear to auscultation. Abdomen is non-tender with no organomegaly. Extremities: Skin is pink, cool to touch, and intact bilaterally. Left and right quadriceps muscle strength 5/5. DTRs left and right + 2/4. No clonus. Negative Homan's and Babinski's sign. Sensation to pinprick and cotton ball intact in extremities and equal bilaterally. Dorsalis pedis pulses +1/4 bilaterally. Eyelids: left-sided ptosis. No facial droop. Left and right cheek sensation to pinprick and cotton ball intact. Masseter muscle: 2/5 left versus 5/5 on right. EOMs intact. Gag reflex: uvula midline gag intact. Shrug and sternocleidomastoid muscle strength 5/5 bilaterally. Tongue: midline and strength 5/5 bilaterally. The following disorder(s) should be considered in the diagnosis: A. Bell's palsy B. Stroke C. Myasthenia gravis D. Multiple sclerosis
A perinatal nurse is asked to obtain a white blood cell count on a newborn suspected of having an infection. The nurse knows that leukocytes (white blood cells) serve as the major defense against infection in the neonate
A) True B) False