The first step in developing a nursing diagnosis is
a. cluster the data c. identify the problem or condition
b. validate the data d. collect data
D
The first step in developing a nursing diagnosis is collecting data through assessment. The second step is validating the data. Then the data is grouped into clusters. Identifying the problem or condition is not a step in the development of a nursing diagnosis.
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A 4-year-old child is seen in the emergency department with a spiral fracture of the right arm. X-ray examination shows previously broken and healed bones. Which of the following is the immediate responsibility of the nurse?
a. Call social services to immediately set up foster care for the child b. Provide information about parenting and anger management classes c. Report the child abuse to the local legal authorities d. Try to establish rapport and trust with the child's family
First responders need to rescue a client who has been exposed to hazardous chemicals at a factory site. Which of the following respirator masks should be applied to the client?
A) Powered air purifying respirator PAPR B) N95 mask C) Surgical mask D) Face mask
The nurse is having difficulty auscultating a patient's bowel sounds during a physical examination of the abdomen. What can the nurse do to improve hearing the patient's sounds of this body area?
A) Percuss the region before auscultating. B) Palpate the region before auscultating. C) Assist the client to a sitting position. D) Reduce all environmental noise.
What condition precipitates polycythemia?
a. Dehydration b. Severe infections c. Immunosuppression d. Prolonged tissue hypoxia