"Risk for suffocation related to discard of refrigerators without doors as manifested by parental concern for safety" is a nursing diagnosis statement. Is there something that could be added to make this statement more complete?
A) A description of the problem, response, or state
B) Identification of factors etiologically related to the problem
C) Signs and symptoms characteristic of the problem
D) Nothing is missing; it is a complete community nursing diagnosis.
Ans: D
Most nursing diagnoses have three parts: a description of the problem, response, or state; identification of factors etiologically related to the problem; and signs and symptoms that are characteristic of the problem.
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When a resident's family complains that their mother is receiving inferior care in the extended care facility, which action should the LPN/LVN charge nurse initially take?
a. Gently explain that Continuous Quality Improvement (CQI) would not permit giving inferior care. b. Mention that the staff is overworked and would be glad for the family's assistance. c. Ask the family to be specific and give examples of "inferior care" the mother has received. d. Tell the family that their reaction is based on guilt because of their need to place their mother in an extended care facility.
The nurse suspects that a 59-year-old client has experienced angina pectoris. Which of the fol-lowing assessment questions will most likely produce information that will assist in the diagno-sis?
1. "How long did the pain last?" 2. "Can you describe the pain for me?" 3. "Did the pain radiate into your left arm?" 4. "What were you doing when the pain started?"
For which condition is the use of a bulk-type laxative contraindicated in?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. Coronary heart disease B. Prescribed antibiotic C. Type 2 diabetes D. Fecal impaction E. Pregnancy
The nurse is completing discharge teaching to a patient following hospitalization for a seizure disorder who is being prescribed phenytoin (Dilantin). What should the nurse include in these instructions?
A. "You will need to have your sodium level monitored." B. "Carry identification indicating the type of seizures for which you are being treated." C. "Maintain good oral hygiene, use a soft toothbrush, massage the gums, and floss daily." D. "If you skip a dose, make sure you double the dose the next day."