The nurse recognizes that caring for patients and families is challenging due to which of the following factors? (Select all that apply.)
A.
Advances in medical care
B.
Decreased cultural diversity
C.
Decreased patient expectations
D.
Increased technology development
E.
Potential legal considerations
ANS: A, D, E
Advances in medical care, increased technology, and the potential for legal ramifications should nurses not use EBP and best-practice guidelines all increase the complexity and challenges in providing nursing care. Neither cultural diversity nor patient expectations are decreasing.
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Qualifiers are added to some NANDA statements to:
1. Explain the cause of the nursing diagnosis. 2. Give additional meaning to the diagnostic statement. 3. Connect to the medical diagnosis. 4. Identify collaborative problems.
The nurse is planning care for a patient with fluid volume overload and hyponatremia. What should be included in this patient's plan of care?
1. Restrict fluids. 2. Administer intravenous fluids. 3. Provide Kayexalate. 4. Administer intravenous normal saline with furosemide.
The nurse is working in the clinic when a client comes in with sudden onset of malaise and muscle aches. During data gathering, the nurse asks the client which of the following? (Select all that apply)
1. "Have you had a flu shot?" 2. "Are you voiding sufficiently?" 3. "Is your cough productive?" 4. "Have you been exposed to influenza?" 5. "Do you have dizziness?"
The nurse is verifying the contents of a parenteral nutrition formula before beginning a new bag on the client. Which of the following ingredients would be a reason to call the physician and clarify the order?
A) Dextrose B) Amino acids C) Vitamins D) Galactose