A nurse has developed a family nursing diagnosis. Which of the following best describes the purpose of this action?
a. Describes the strengths of the family
b. Allows for creation of goals for the family
c. Promotes behavioral change among family members
d. Validates health problems with the family
Answer: d. Validates health problems with the family
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A client's last menstrual period began on June 16 . Using Naegele's rule, the nurse calculates the client's estimated date of delivery (EDD) as:
a. March 9 c. March 23 b. April 23 d. April 6
The nurse is caring for a patient with altered level of consciousness (LOC) who is exhibiting extension and outward rotation of the upper extremities and plantar flexion of the feet
The nurse would be correct in documenting this clinical manifestation as which of the following? A) Bilateral flaccidity B) Decorticate posturing C) Decerebrate posturing D) Hemiplegia
Which assessment finding would the nurse need to report most quickly to the health care provider regarding a patient with acute pancreatitis?
a. Nausea and vomiting b. Hypotonic bowel sounds c. Abdominal tenderness and guarding d. Muscle twitching and finger numbness
A nurse is educating a client about a care plan. Which of the following statements would be appropriate to assess the client's learning ability?
A) "Did you graduate from high school; how many years of schooling did you have?" B) "Do you have someone in your family who would understand this information?" C) "Many people have trouble remembering information; is this a problem for you?" D) "Would you prefer that the doctor give you more detailed medical information?"