The nurse is providing care for a client recently diagnosed with type 2 diabetes mellitus. Which is the reason for using the Nursing Outcomes Classification (NOC) system when formulating client outcomes when planning care?
A) The NOC looks more professional in the plan of care.
B) The NOC allows better nursing communication.
C) The NOC facilitates the collection of client care data.
D) It would be easier than forming other types outcomes.
Answer: B
The standardized language of the NOC allows nurses to describe nursing problems, treatments, and outcomes in a consistent manner that is understood by all nurses. The NOC was not devised to make outcomes easier or more professional looking. Outcomes are based on data already collected and do not facilitate data gathering.
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A patient admitted with heart failure is complaining of persistent nausea. The nurse recognizes that gastrointestinal distress associated with right-sided heart failure is caused by:
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A patient with a temporary pacemaker has this cardiac rhythm. What nursing intervention is indicated?
1. Turn the impulse generator off, wait 30 seconds, and turn it back on.
2. Call for a STAT portable chest x-ray.
3. Check for a damaged lead wire.
4. Decrease the pacemaker sensitivity.
Which of the following would the nurse include in the pre-operative plan of care for an infant with myelomeningocele?
A) Positioning supine with a pillow under the buttocks B) Covering the sac with saline-soaked non-adhesive gauze C) Wrapping the infant snugly in a blanket D) Applying a diaper to prevent fecal soiling of the sac