Which statement is true regarding nursing diagnosis?
a. Nursing diagnoses are very similar to medical diagnoses.
b. A nursing diagnosis identifies a specific disease or condition.
c. A nursing diagnosis focuses on the client's responses to health problems.
d. Nursing diagnoses are used as a mechanism for direct financial reimbursement.
C
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A nurse is changing the wound dressing on the coccyx-region pressure ulcer of an immobilized patient. The existing dressing is saturated with both watery, clear discharge and foul, gray-colored liquid
Which of the following entries in the patient's chart best captures this? A) "Large amounts of suppurative and serous exudates noted" B) "Purulent discharge and fibrinous exudates noted on existing dressing" C) "Abscess activity noted to coccyx wound" D) "Plasma proteins and membranous exudates present on existing dressing"
The nurse is caring for a Chinese American client and understands that an essential component of traditional Chinese healing practice includes:
a. Ayurveda c. meridianism b. herbalism d. shamanism
The nurse is assessing a postpartum client's lochia and finds that there is about a 4-inch stain on the perineal pad. The nurse documents this finding as which of the following?
A) Scant B) Light C) Moderate D) Large
A newly married woman states, "My friend told me I would never have a baby because I had pelvic inflammatory disease when I was younger. I don't understand how that can affect whether or not I get pregnant." The nurse's best response is:
a. "Your friend may be right. The disease may affect your ability to conceive." b. "Pelvic inflammatory disease may damage the ovaries and prevent ovulation." c. "Infection may cause scarring and obstruction of the fallopian tubes, which can prevent the fertilized egg from reaching the uterus." d. "Your friend has been misinformed. Fallopian tube damage occurs only following gonorrhea."