The nursing diagnosis of "powerlessness related to lack of a plan to resolve crisis" has been
established for a client seeking crisis intervention. An appropriate outcome for this nursing diagnosis
would be that the client will
a. sign a no-suicide contract within 30 minutes.
b. meet precrisis role expectations within 36 hours.
c. state he feels less anxious within 4 hours of the interview.
d. state two possible alternative solutions during the first interview.
D
Determining possible alternative solutions to the problem is the only outcome that addresses the
etiology statement of the nursing diagnosis. Option A relates to risk for self-directed violence.
Option B relates to ineffective role performance. Option C relates to anxiety.
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A nurse working on a pediatric unit teaches a student nurse that the children may require intravenous fluids to be administered through a peripheral line, a central venous access, or a peripherally inserted central catheter
The nurse further notes that on the unit, several patients are candidates for central venous access devices, including: Select all answers that apply. A) a child receiving chemotherapy for cancer. B) a child receiving fluid maintenance prior to diagnostic testing. C) a child who requires long-term intravenous access for hydration. D) a child with pneumonia who requires intermittent medication administration.
The nurse is assessing a client's left brachial pulse. Which area will the nurse palpate to?
A. Cubital fossa. B. Neck. C. Behind the knee. D. Wrist.
Identify an accurate statement about oxytocin.
A. Natural preparations (animal source) of oxytocin are generally administered during pregnancy. B. Oxytocin prevents the forceful expulsion of a fetus through an undilated birth canal. C. The use of oxytocics lessens the chance of violent uterine contractions. D. The duration of uterine contraction is dependent on the oxytocin dose.
You note a colleague making an inappropriate remark about the patient's weight. The patient is unconscious at the time. What should you do?
A) Ignore the comment because the patient is unconscious. B) Discourage the comments. C) Report the comment to the supervisor. D) Realize humor is needed in the workplace.