Which component of the OMAHA system is further subdivided into four levels?
a. Intervention scheme c. Problem rating scale
b. Problem classifica-tion scheme d. Evaluation scheme
B
The OMAHA system has three components: the problem classification scheme, the intervention scheme, and the problem rating scale for outcomes. The problem classification scheme is divided into four levels: domain, problem, modifiers, and signs and symptoms.
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The nurse is caring for a child on bed rest who has severe edema in a left lower leg due to blocked lymphatic drainage. Which nursing diagnosis would take priority?
1. Risk for impaired skin integrity 2. Risk for altered body image 3. Risk for imbalanced nutrition: less than body requirements 4. Risk for activity intolerance
The nurse makes a home visit to a 76-year-old male widower who is taking multiple medications. The patient states that he has been taking some herbal remedies. The nurse should include which of the following in the patient's teaching?
A) He should inform his physician and pharmacist about the herbal remedies. B) He should stop taking the herbal remedies. C) Herbal remedies are folk medicine, and they don't usually work. D) Herbal remedies are natural products, so he can take as much as he wants.
What is the most important information to be included in the discharge planning for an infant with gastroesophageal reflux?
a. Teach parents to position the infant on the left side. b. Reinforce the parents' knowledge of the infant's developmental needs. c. Teach the parents how to do infant cardiopulmonary resuscitation (CPR). d. Have the parents keep an accurate record of intake and output.
When a patient tells a nurse, "I think I'm impotent," which response by the nurse would be most therapeutic?
a. "That must be very scary for you.". b. "How is your overall health?" c. "What medications are you currently taking?" d. "Please tell me what you mean by ‘impotent.'"