How are NANDA-I problem labels and NOC outcome labels alike? Both describe:
a. Health status in terms of human responses
b. Patient response before interventions are done
c. Patient response in positive terms
d. A pattern of related cues
ANS: A
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A patient in labor has internal fetal monitoring and normal vital signs. All fetal signs are reassuring. She wishes to try whirlpool bath hydrotherapy as a comfort measure. Which action by the nurse is best?
A. Assist the woman into the tub so she doesn't fall. B. Ensure the water temperature does not exceed 101 °F (38.3 °C). C. Inform her that she is not able to participate in this method. D. Remove the fetal monitor wires prior to the patient's getting in the tub.
The nurse is teaching the parents of a 1-month-old infant who has contracted varicella-zoster virus (VZV). What information should the nurse include?
A) The child will be at increased risk of contracting herpes zoster after age 60. B) The child will be at increased risk of contracting herpes zoster in adolescence. C) The child is at increased risk of another outbreak of VZV. D) The child will be immune to contracting herpes zoster.
Which laboratory value is increased in acute pancreatitis?
a. serum albumin c. calcium b. serum amylase d. sodium
In hyperthyroid states, what organ system other than CV must be evaluated to establish potential adverse issues?
1. The liver 2. The nails and skin 3. The eye 4. The ear