Characteristics of the nursing process include: Standard Text: Select all that apply
1. It is a logical method of providing individualized nursing care
2. Can only be utilized by RNs
3. Components include assessing, diagnosing, planning, interventions, evaluation
4. Provides a framework in which clients can discuss their actual and potential health problems
5. Components follow a logical sequence, one at a time
1,3
Rationale 1: The nursing process is a systematic, logical method of providing individualized nursing care
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A patient with class IV heart failure has been receiving care in the cardiac critical care unit and attempts to wean the patient from inotropic support have been unsuccessful
The care team has appraised the benefits and deficits of a ventricular assist device (VAD) and will present this option to the patient's family. When teaching the patient's family about this intervention, what description should the nurse provide? A) "A VAD is inserted to supplement the heart's ability to pump blood from the heart to the rest of the body." B) "A VAD regulates the electrical activity in the heart and coordinates the pumping action to increase efficiency." C) "A VAD increases the size of the blood vessels downstream from the heart so that circulation is easier and more efficient." D) "A VAD involves the insertion of a balloon into a major blood vessel to improve the strength and volume of circulation."
A patient reports taking attapulgite (Kaopectate) for diarrhea over the past 4 days. What is your best action?
a. Send a stool specimen to the lab for analysis including culture, sensitivity, and parasites. b. Instruct the patient to notify nursing staff for episodes of diarrhea and save the stool for occult blood check. c. Check the patient's blood pressure, heart rate, respiratory rate, and oxygen saturation. d. Teach the patient that antidiarrheal drugs should not be taken for more than 2 days unless instructed to by their prescriber.
The risk of choking is greater in a young adult than it is in an elderly adult.
Answer the following statement true (T) or false (F)
When evaluating the crutch-walking technique of a patient with a right-leg long-leg cast and no weight bearing on the right leg, the nurse determines that the patient is prepared to ambulate independently with the crutches on observing that the patient
a. uses the bedside chair to assist in balance as needed when ambulating in the room. b. keeps the padded area of the crutch firmly in the axillary area when ambulating. c. advances the right leg and both crutches together and then advances the left leg. d. moves the left crutch with the left leg and then the right crutch with the right leg.