A nurse has assessed a client and is now preparing for the nursing diagnosis process
Which activity must the nurse perform as part of the nursing diagnosis process?
A) Direct nursing interventions to meet the client's high-priority needs
B) Identify the disease a person has or is believed to have
C) Study the physiologic manifestations of the illness of the client
D) Establish the cause and nature of the illness of the client
A
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The nurse is working in a long-term care facility. As clients are assessed, the nurse notes that one client is confused and incontinent, which is new behavior for the client. The nurse should further assess the client, suspecting:
1. the client has had a stroke. 2. the client's oxygen level is decreased. 3. the client has cystitis. 4. the client has kidney stones.
The school nurse assesses a child with a history of asthma who has had an acute onset of wheezing. The initial action by the nurse is to
1. call 911 to request emergencymedical assistance. 2. call the child's parents to come andpick up the child. 3. have the child use his metered-doseinhaler. 4. have the child lie down to see if thesymptoms subside.
Neuroleptic medication accomplishes which of the following?
a. cures schizophrenia b. controls positive symptoms of schizophrenia c. totally eliminates negative symptoms of schizophrenia d. returns the client to the workplace
The single best indicator of a patient's fluid status is the nurse's assessment of which one of the following?
a. The patient's skin turgor b. The patient's intake and output c. The patient's serum electrolyte levels d. The patient's daily body weight