All of the following statements about nursing diagnoses are true except
a. the nursing diagnosis is the end point of implementation of nursing interventions
b. nursing diagnoses are a legal component of the client record
c. nursing diagnoses can be made for communities
d. the nursing diagnosis is a statement that can describe the human response to illness
A
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The nurse follows which of the following guidelines when providing skin care and protection for bathing a patient with pruritus?
A) Lather well with antibacterial soap. B) Use the friction of a towel rub to stimulate the skin. C) Keep the patient cool, especially at night. D) Provide a hot bath for 35 to 45 minutes.
A mental health nurse has recently discovered that her client is taking an ephedra-based weight-loss product that is marketed as a "totally herbal remedy for weight loss." Which of the following is the most important nursing action?
A) The nurse should talk with the client about the potential for adverse events that can result from the use of ephedra. B) The nurse should instruct the client in the appropriate usage and dosing of the herbal remedy. C) The nurse should ask the client whether or not he or she has tried other weight-reduction strategies. D) The nurse should be certain that the client does not take the herbal remedy on the same dosing schedule as the client's other medications.
When counting respirations,
A. count each inhalation and each expiration and add them together. B. wear gloves. C. count one inhalation and one expiration as one respiration. D. tell the patient what you are doing.
A 30-year old business executive is taking simethicone for excessive flatus associated with diverticulitis. During a patient teaching session, the nurse explains the mechanism of action of simethicone by saying?
a. it neutralizes gastric pH, thereby preventing gas b. it buffers the effects of pepsin on the gastric wall c. it decreases gastric acid secretion and thereby minimizes flatus d it causes mucus-coated gas bubbles to break into smaller ones