When a nurse notices the client is in pain and needs to learn to walk on crutches, which outcome identification is the priority?
A) Crutch walking
B) Safe walking
C) Capillary refill
D) Pain management
Ans: D
Feedback:
In this scenario, pain management is the priority. In outcome identification, activities performed include establishing priorities.
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A patient with third-degree burns is being treated with high-volume intravenous fluids and has a urine output of 40 mL per hour. What does the nurse realize about this urine output?
1. It is normal for this patient. 2. It is evidence that the patient is dehydrated. 3. It is evidence that the patient is overhydrated. 4. It is indicative of pending renal failure.
What distinguishes Reed's theory as a nursing theory is its inclusion of
A. Nursing processes. B. Well-being of the whole person in the context of health experiences. C. Nurse theorist. D. Developmental considerations.
The nurse uses which statement to best describe the link between atherosclerosis and coronary artery disease?
1. "Coronary artery disease results when atherosclerotic plaques break off and cause ischemia." 2. "Coronary artery disease results when atherosclerotic plaques block the inside of the blood vessels." 3. "Coronary artery disease results when atherosclerotic plaques grow large enough to rupture the coronary blood vessels." 4. "Coronary artery disease results when there are spasms around the atherosclerotic areas."
A patient asks when she should make an appointment for her first Pap (Papanicolaou) test to screen for cervical cancer. What is the nurse's most appropriate response?
a. "There is no need for Pap tests until after you have become pregnant." b. "All women should have the first Pap test after reaching menarche." c. "All women should have the first Pap test after they are 19 years of age." d. "All women should have the first Pap test when they become sexually active or at age 21."