Parish nurses perform all of the following functions EXCEPT:
1. education.
2. advocacy.
3. home health.
4. make community referrals.
ANS: 3
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Which nursing diagnosis should be prioritized when providing nursing care to a client diagnosed with avoidant personality disorder?
1. Risk for violence: directed toward others R/T paranoid thinking 2. Risk for suicide R/T altered thought 3. Altered sensory perception R/T increased levels of anxiety 4. Social isolation R/T inability to relate to others
A patient diagnosed with multiple sclerosis has been admitted to your unit for treatment of an MS exacerbation. Included in the admission orders is baclofen (Lioresal)
What would you include as an expected outcome of this medication? A) Reduction in the appearance of new lesions on the MRI B) Decreased muscle spasms in the lower extremities C) Increased muscle strength in the upper extremities D) Limits severity and duration of exacerbations
A patient with peripheral arterial disease has a nursing diagnosis of Ineffective Tissue Perfusion. Which nursing intervention is most appropriate for this nursing diagnosis?
1. Assist the patient in taking hot baths. 2. Do not elevate the patient's legs. 3. Encourage the patient to limit activity. 4. Limit visitors.
The nurse preparing a Latino patient for a diagnostic procedure states, "After the cardiac catherization, you will need to be supine. We will also assess you for a thrombus." Which statement below is true?
a) The statements are appropriate to teach the patient about the procedure. b) The nurse is using healthcare jargon in her explanation to the patient. c) The nurse should use an interpreter to explain the procedure to the patient. d) The information will have to be repeated to a family member, when he/she arrives.