The nurse caring for a patient who is 2 days post hip-replacement notifies the physician that the patient's incision is red around the edges, warm to touch, and seeping a white liquid with a foul odor
What type of problem is the nurse dealing with?
A) Collaborative problem
B) Nursing problem
C) Medical problem
D) Administrative problem
Ans: A
Feedback: In addition to nursing diagnoses and their related nursing interventions, nursing practice involves certain situations and interventions that do not fall within the definition of nursing diagnoses. These activities pertain to potential problems or complications that are medical in origin and require collaborative interventions with the physician and other members of the health care team. The other answers are incorrect because the signs and symptoms of infection are a medical complication that requires interventions by the nurse.
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A competent resident in a long-term care facility refuses an ordered antidepressant medication
The nurse believes the patient needs the medication because he is clearly showing signs of depression and dissolves the medication in juice without telling the patient. This illustrates negligence by failure to a. follow the standard of care. b. assess and monitor a patient. c. communicate with a patient. d. document.
A 32-year-old woman meets with the nurse on her first office visit since undergoing a left mastectomy. When asked how she is doing, the woman states her appetite is still not good, she is not getting much sleep because she doesn't go to bed until her husband is asleep, and she is really anxious to get back to work. Which of the following nursing interventions should the nurse explore to support the client's current needs?
A. Call the physician to discuss allowing the client to return to work earlier. B. Suggest that the client learn relaxation techniques to help with her insomnia C. Perform a nutritional assessment to assess for anorexia D. Ask open-ended questions about sexuality issues related to her mastectomy
It is important to learn about the organization for which you wish to work. You can start by looking at its:
A. Mission statement. B. Policy and procedures. C. Advertisement size. D. Salary ranges.
Why is the nurse implementing actions to prevent the onset of catheter-related infections in a patient receiving care in the intensive care unit?
1. Statistics report that as many as one in five individuals who develop a catheter-related infection die from it. 2. Nosocomial catheter-related infections prolong hospitalization by an average of 4 days. 3. The increased cost of care due to the development of a blood-borne infection averages between $1,700 and $17,000. 4. Central venous catheters have about the same rate of infection as peripherally inserted catheters.