A student is reviewing a client's chart before giving care. She notes the following diagnoses in the contents of the chart: "appendicitis" and "acute pain." Which of the diagnoses is a medical diagnosis?
A) Neither appendicitis nor acute pain
B) Both appendicitis and acute pain
C) Appendicitis
D) Acute pain
Ans: C
Medical diagnoses identify diseases (in this case, appendicitis). Nursing diagnoses describe problems treated by the nurse within the scope of independent nursing practice.
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The client diagnosed with migraine headaches asks the nurse why he sees flashing lights and his left side becomes numb or tingles. The nurse explains these symptoms are a/n:
1. Hallucination indicating possible mental illness. 2. Aura preceding the headache. 3. Transient ischemic attack (TIA). 4. Cranial nerve irritation.
A mother brings her baby to the emergency department stating that the baby no longer makes tears when crying but is having multiple soaked diapers per day. Which assessment by the nurse takes priority?
A. Last bowel movement B. Palpation of fontanels C. Prenatal history D. Time of last meal
The nurse is caring for a client who is refusing to take the prescribed medication ordered by the physician. The nurse attempts to convince the client to adhere to the plan of care and then notifies the RN of the refusal
What did the nurse experience with this situation? 1. A breach of professional boundaries 2. A dilemma 3. A HIPAA violation 4. A NAPNES code of ethics violation
The levels of prevention are often addressed in nursing centers. If a community conducts blood lead screenings on a regular basis for children under 6 years old, this would be consi-dered:
1. Tertiary prevention 2. Primary prevention 3. Secondary prevention 4. Health education