The following statement appears on a nursing care plan: "Prior to discharge, [Client] will be able to complete wound care without assistance." This statement is an example of a:
1. nursing intervention.
2. nursing diagnosis.
3. client goal.
4. client outcome.
ANS: 3
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A newly married woman states, "My friend told me I would never have a baby because I had pelvic inflammatory disease when I was younger. I don't understand how that can affect whether or not I get pregnant." The nurse's best response is:
a. "Your friend may be right. The disease may affect your ability to conceive." b. "Pelvic inflammatory disease may damage the ovaries and prevent ovulation." c. "Infection may cause scarring and obstruction of the fallopian tubes, which can prevent the fertilized egg from reaching the uterus." d. "Your friend has been misinformed. Fallopian tube damage occurs only following gonorrhea."
During an assessment, the nurse notices that a patient hesitates to answer a health history question and states, "You are going to think poorly of me if I answer that truthfully.". The nurse encourages the patient to be honest
Which of the following skills is the nurse using at this time? 1. Affective 2. Cognitive 3. Psychomotor 4. Emotional
A hypertonic solution is one that:
A. causes no shift in fluid on either side of the cell. B. pulls fluid and electrolytes into the cell. C. has a minimal risk of causing overhydration. D. draws fluid and electrolytes out of the cell.
What technique does the nurse use to test ankle clonus?
a. Strokes the lateral aspect of the sole of the patient's foot from heel to ball with a reflex hammer b. Supports the patient's knee in flexed position and sharply dorsiflexes the foot and maintains the flexion c. Plantar flexes the ankle and strikes the appropriate tendon of the ankle with the hammer d. Everts the ankle and slowly moves the ankle into plantar flexion and quickly release the foot