The nurse wants to propose a new nursing diagnosis. What action should the nurse take first?

1. Using the proposed nursing diagnosis when constructing client care plans
2. Getting permission for the proposed nursing diagnosis to be implemented by a nursing facility
3. Submitting the diagnosis to NANDA's Diagnostic Review Committee
4. Presenting the proposed nursing diagnosis at the local AMA (American Medical Association) meeting.


Rationale 1: This option is inappropriate because only approved nursing diagnoses should be used to direct nursing care.
Rationale 2: This is not the appropriate method for having a new nursing diagnosis included for use.
Rationale 3: This is the recognized procedure for initiating the approval of a new nursing diagnosis.
Rationale 4: This option is inappropriate because nursing diagnoses are not a part of medical care.

Nursing

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An older African-American client shares that they, "Don't hear as well as they used to." Responding based on evidence-based data, the nurse will:

a. Inquire as to whether the client has tinnitus b. Assess the client for middle ear fluid accumulation c. Ask whether the client has ever been diagnosed with otosclerosis d. Check the client's ears for a cerumen impaction

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The nurse prepares an insulin injection for the client who has diabetes mellitus. Which does the nurse implement for insulin administration?

1. Gives regular insulin within 15 to 30 minutes of meals 2. Stores sealed, unused insulin vials at room temperature 3. Examines vials of NPH insulin for abnormal cloudiness 4. Administers NPH insulin for sliding-scale insulin dosing

Nursing