Katie is a student nurse completing her final semester of nursing school. This semester she is caring for patients in a wound clinic. One of the patients, Mr. Theim, is a 67-year-old man with a varicose ulcer in his right lower leg
Katie has been caring for Mr. Theim for the past month and is taking off the bandages from the leg to see how it is healing. The ulcer no longer had exudates and appeared to be healing as expected. This is an example of which of the following American Nurses Association Standards of Practice? A. Planning
B. Evaluation
C. Implementation
D. Nursing diagnosis
B
The definition of evaluation by the ANA Standards of Practice is that the registered nurse evaluates progress toward attainment of outcomes.
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The nurse researcher reads that the halo effect occurred during data collection. What is the halo effect?
A) Tendency for observers to rate everything positively B) Tendency for observers to rate everything harshly C) Tendency of observers to be influenced by one characteristic in judging other, unrelated characteristics D) Occurs when extreme events are distorted toward middle ground
The mother of a 2-year-old child with a spica cast to correct her hip dysplasia is concerned because the child is vomiting after eating. The child's body temperature is normal. What should the nurse respond to this mother's concern?
A) "Bring the child to the hospital if a fever develops or is unable to keep food down for 24 hours." B) "The vomiting is a possible sign of infection and the child should be brought to the hospital." C) "This is a reaction to the analgesics. Observe the child for the next eight hours and see what happens." D) "If the child has no fever and wants to eat, the cast may be too tight. The cast needs to be reapplied."
When considering white blood cell differentials, acute inflammatory reactions are related to elevations of which leukocyte?
a. Monocytes b. Eosinophils c. Neutrophils d. Basophils
The nurse is planning care for an adolescent with acquired immunodeficiency syndrome. The priority nursing goal is to:
a. Prevent infection. c. Restore immunologic defenses. b. Prevent secondary cancers. d. Identify source of infection.