Of the following types of nursing diagnoses, which one is validated by the presence of major defining characteristics?
A) risk nursing diagnosis C) possible nursing diagnosis
B) actual nursing diagnosis D) wellness diagnosis
B
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A young man has been diagnosed with hemophilia and the nurse is planning his discharge teaching and includes what teaching point?
A) Using nonsteroidal anti-inflammatory drugs (NSAIDs) for mild pain B) Preventing trauma to the body C) Receiving IV factor VIII therapy at home D) Understanding the condition is an X-linked recessive disorder
Many medications are available to control nausea and vomiting without oversedating the patient. At what point should a nurse normally administer antiemetics to a surgical patient?
A) Upon admission from PACU B) When the patient reports that he or she will soon vomit C) At the patient's first report of nausea D) When nonpharmacologic interventions are unsuccessful
Which of the following questions would be most helpful in beginning an initial assessment interview for a client who has just been admitted to a psychiatric inpatient unit?
A) "Have you had any previous psychiatric admissions?" B) "What brings you into the hospital today?" C) "Have you had any thoughts about trying to harm yourself? D) "How would you describe your relationship with your spouse?"
Common manifestations following a traumatic experience that leaves a nurse thinking a client is experiencing physiologic hyperarousal include which of the following? Select all that apply
A) Urinates frequently B) Startles easily C) Overreacts to others D) Avoids places associated with the event E) Has vivid dreams