The nurse is caring for seven patients this shift. After completing their assessments, the nurse states that he doesn't know where to begin in developing care plans for these patients

Which of the following is an appropriate suggestion by another nurse? a. "Choose all the interventions and perform them in order of time needed for each one."
b. "Make sure you identify the scientific rationale for each intervention first."
c. "Decide on goals and outcomes you have chosen for the patients."
d. "Begin with the highest priority diagnoses, then select appropriate interventions."


D
When developing a plan of care, the nurse needs to rank the nursing diagnoses in order of priority, then select appropriate interventions. Choosing all the interventions should take place after ranking of the diagnoses, and interventions should be prioritized by patient needs, not just by time. The chosen interventions should be evidence-based with scientific rationales, but the diagnoses need to be prioritized first to prioritize interventions. Goals for a patient should be mutually set, not just chosen by the nurse.

Nursing

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A recent episode of chest pain while doing yard work prompted a 70-year-old man to seek care and he has been subsequently diagnosed with chronic stable angina

The nurse should recognize what guiding principle in the treatment of this patient's angina? A) The patient will likely have a trial of antiplatelet drugs before being prescribed nitrates. B) The patient would benefit from a weekly intravenous dose of a beta blocker. C) The patient's angina may necessitate the use of a calcium channel blocker. D) The patient indicates a need for daily low-molecular weight heparin therapy

Nursing

A patient tells the nurse that he had made some decisions about his care when he thought he was going to die, but now that he knows he isn't, he wants all possible medical treatment. Which nursing action is indicated?

1. Tell the patient that he cannot change is mind or treatment plan. 2. Change the patient's classification in the medical record. 3. Contact social services to discuss the change in plans. 4. Contact the health care provider for the patient to discuss the patient's decision.

Nursing

While instructing a patient diagnosed with type 2 diabetes mellitus, the nurse reviews how the use of exogenous insulin might be indicated for the patient for which of the following?

1. regular aerobic exercise 2. switched to a different oral anti-diabetic medication 3. scheduled to have surgery 4. drinks alcohol on a regular basis

Nursing

MC In a community known for its older homes, many young couples are renovating houses. A prevention measure to ensure the safety of these families would be to

A. Encourage the safe removal of lead-based paint in the homes. B. Screen all members for lead levels. C. Institute chelating measures for lead removal in the family members. D. Monitor lead levels in the family members.

Nursing