The nurse is incorporating the use of the Omaha system into a home health practice. Which should the nurse anticipate obtaining from the use of the system?
A. Identification of cultural needs.
B. Medical diagnosis.
C. Identification of teaching needs.
D. Nursing diagnosis.
Answer: C
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The nurse is caring for a woman with heavy bleeding immediately after delivery. The placenta was examined and found to be complete
Fundal massage allows the uterus to become firm, but within minutes, the uterus becomes boggy again, and the bleeding is heavy. The nurse anticipates what priority intervention to reduce bleeding? A) blood transfusion and fluid bolus B) surgical dilatation and curettage C) magnesium sulfate administration D) IV Pitocin or IM Methergine
The patient is found to be in respiratory acidosis. Which metabolic processes are in place during respiratory acidosis?
1. The pH is low, carbon dioxide is high, and the kidneys excrete hydrogen ions and conserve bicarbonate. 2. The pH is high, carbon dioxide is high, and the kidneys excrete hydrogen ions and conserve bicarbonate. 3. The pH is low, carbon dioxide is low, and the kidneys excrete hydrogen ions and conserve bicarbonate. 4. The pH is low, carbon dioxide is high, and the kidneys conserve hydrogen ions and excrete bicarbonate.
A hospital unit has a policy that rectal temperatures may not be taken on patients who have had cardiac surgery. What rationale supports this policy?
A) It is an embarrassing and painful assessment. B) Thermometer insertion stimulates the vagus nerve. C) It is less expensive to take oral temperatures. D) It is to avoid perforating the wall of the rectum.
A neonate is having a circumcision performed. What can the nurse do to provide comfort for the neonate during the procedure?
1. Encourage non-nutritive sucking with a small amount of sucrose. 2. Strap the neonate's legs down so that the neonate cannot kick. 3. Attempt to feed the neonate during the procedure. 4. All of the above should be provided.