The nurse has written nursing diagnoses for a client's care. Which of the following is a correctly stated nursing diagnosis?
a. Impaired bowel elimination related to long-term laxative use
b. Infectious mononucleosis caused by Epstein-Barr virus
c. Ineffective airway clearance related to pneumonia
d. Impaired skin integrity related to nurse aide not turning client
ANS: A
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The nurse would anticipate that the patient with right-sided heart failure would exhibit
A) wheezing. B) orthopnea. C) edema. D) pallor.
What is the major focus of the evaluation step in the nursing process?
a. comparing the client's progress with the ex-pected outcomes and goal b. measuring the adequacy of the facility to meet the needs of clients c. measuring the adequacy of nursing activities while implementing the nursing process d. measuring the cost-effectiveness of nursing care
Mr. Gone is a 79-year-old patient who is being discharged from your hospital. He lives independently but has periods of forgetfulness. It is important to include his family when teaching about his medications primarily to:
A) Provide a reference and support system for him B) Convince his family that they should go to his house daily to give his medications C) Encourage him to move to a nursing home or an assisted living facility D) Gain the family's approval for the medications
A health institution is looking for solutions to the nursing shortage it is experiencing. After researching options, which strategies have been successful for other institutions? (Select all that apply.)
A) Appoint a team of nurses to lobby for effective changes within the health care system B) Encourage clinical decision making C) Develop an active marketing effort to recruit qualified students into nursing D) Promote higher education to all nurses E) Develop self-evaluation systems