A client is 3 days postoperative from gallbladder surgery secondary to gallstones. Domain: Physiological. Class: Fluid and electrolyte balance. Activity:
Check intravenous fluid rate intake every hour. Which of the following nursing coding systems is represented in this situation?
a. North American Nursing Diagnosis (NANDA)
b. Nursing intervention classification
c. Nursing outcome classification
d. Omaha system of client problems
ANS: B
The nursing intervention classification identifies nursing interventions that are classified under domains and classes. NANDA is a classification of nursing diagnoses. Nursing outcome classification identifies and classifies nursing-sensitive outcomes of client care. The Omaha system classifies problems under four levels: (1) major domains, (2) specific problems, (3) modifiers, and (4) signs and symptoms.
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During a visit to the clinic, a patient states, "The doctor just told me he thought I ought to stop smoking. He doesn't understand how hard I've tried. I just don't know the best way to do it. What should I do?" The nurse's most appropriate response in this case would be:
a. "I'd quit if I were you. The doctor really knows what he is talking about." b. "Would you like some information about the different ways a person can quit smoking?" c. "Stopping your dependence on cigarettes can be very difficult. I understand how you feel." d. "Why are you confused? Didn't the doctor give you the information about the smoking cessation program we offer?
Why should the nurse be cautious about using humor when teaching clients from other cultures?
1. Meaning can change in the translation process. 2. Humor has no place in health education. 3. Humor is not common in other cultures. 4. Humor makes people uncomfortable.
A patient reports finding information about a health problem on Wikipedia. The nurse should realize that which of the following describes a wiki?
A) A shared online resource B) Social media site C) A pop-up D) SPAM
The spouse of a client asks why her husband seems to drink more when he is depressed. What should the nurse say in response?
a. "The body craves alcohol more when someone is sad." b. "A person's mood does not have any impact on his or her drinking." c. "Depression is an excuse to drink." d. "Research indicates that alcohol elevates a person's mood."