Which of the following is a distinct nursing function in the nursing process?
A) Assessment
B) Planning
C) Nursing diagnosis
D) Evaluation
Ans: C
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A nurse cares for a client who has obstructive jaundice. The client asks, "Why is my skin so itchy?" How should the nurse respond?
a. "Bile salts accumulate in the skin and cause the itching." b. "Toxins released from an inflamed gallbladder lead to itching." c. "Itching is caused by the release of calcium into the skin." d. "Itching is caused by a hypersensitivity reaction."
Measurable goals are: (Select all that apply.)
a. specific b. concrete c. vague d. easy to judge e. non-specific
The nurse is administrating eardrops that have been refrigerated. Which action by the nurse is correct before administering the drops?
a. Leave the drops in the refrigerator until use. b. Heat the chilled solution for 10 seconds in the microwave. c. Soak the bottle for 60 seconds in a container of very hot water. d. Take the drops out of the refrigerator 1 hour before the dose is due.
The nurse is giving discharge instructions to a patient diagnosed with pyelonephritis. Which statement by the patient would indicate that learning has occurred?
1. "Pyelonephritis is an infection of the kidney.". 2. "Pyelonephritis is an inflammation of the bladder.". 3. "Pyelonephritis is an infection of the lower urinary tract.". 4. "Pyelonephritis is a blockage in the tube from the kidney to the bladder.".