During the orientation to the renal oncology unit, the head nurse demonstrated the usefulness of the Clinical Care Classification (CCC) System. Throughout the demonstration, the head nurse discussed the value of the system to patient care
Which of the following statements best reflects the usefulness of CCC? 1. The Clinical Care Classification (CCC) System facilitates the collection and dissemination of lab values.
2. The Clinical Care Classification (CCC) System offers improved outcomes.
3. The Clinical Care Classification (CCC) System facilitates patient care documentation at the bedside.
4. The Clinical Care Classification (CCC) System discloses standardized nursing terminologies.
3
Rationale: The Clinical Care Classification (CCC) System is a nursing classification designed to document the six steps of the nursing process across the care continuum (Saba, 2007). It facilitates patient care documentation at the point of care.
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The nurse is collecting a capillary blood specimen. Which statement demonstrates proper technique for this procedure?
1. Clean the site with alcohol, and puncture the finger quickly, then collect the first drop of blood. 2. If the puncture site is not bleeding, squeeze the finger as firmly as possible without causing pain. 3. Clean the site with alcohol, puncture the finger, wipe the first drop of blood with gauze, and then collect the specimen. 4. Puncture the finger in the center of the pad, which is more vascular.
The nurse is caring for a patient who is experiencing alcohol withdrawal. Which nursing diagnosis receives priority for a patient in alcohol withdrawal?
1. Risk for Injury 2. Ineffective Coping 3. Disturbed Sensory Perception 4. Disturbed Thought Processes
What is the recommended intake of folic acid for all women of childbearing age?
a. 400 microgram per day c. 600 microgram per day b. 200 microgram per day d. 100 microgram per day
Which of the following nursing diagnoses would the nurse include as the highest priority in the discharge teaching for a client with hypoparathyroidism?
1. Risk for Injury 2. Altered Nutrition 3. Impaired Mobility 4. Risk for Infection