What is a nursing diagnosis considered when a problem is suspected but data to support it are lacking?
a. A syndrome nursing diagnosis
b. An actual nursing diagnosis
c. A "risk for" diagnosis
d. A possible nursing diagnosis
ANS: D
A possible nursing diagnosis requires additional data to confirm a problem or to complete a data cluster so that it can be related to a NANDA-I label.
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What is the major cause of cardiac valve disease?
a. Rheumatic fever b. Long history of malnutrition c. Drug abuse d. Obesity
A patient is taking oral contraceptives and is experiencing manifestations. Which manifestation should the nurse report to the primary care provider?
A) Abdominal pain B) Small amount of breakthrough bleeding C) Light menstrual flow D) Cramping during menses
A large amount of data related to hypertension rates is collected in a community. The data is analyzed. What is the next step in the surveillance process?
a. Collecting data from multiple valid sources b. Evaluating the impact on the surveillance system c. Interpreting the data and disseminating it to decision makers d. Asking political officials to finance a hypertension clinic
The nurse is instructing a client about how to prevent medication errors after discharge from the hospital. What is a priority recommendation the nurse should make?
1. Ask questions about drug safety. Health care providers should be partners in maintaining safe medication principles. 2. Remember that OTC and herbal supplements are not considered medications. They cannot cause any harm. 3. It is okay to use household measuring devices to measure medications. These devices yield the same measurements that are used by professionals. 4. Do not question the medications received from the pharmacist. The pharmacist is a professional and should not be questioned.