Which of these would be formulated by a nurse using diagnostic reasoning?
a. Nursing diagnosis
b. Medical diagnosis
c. Diagnostic hypothesis
d. Diagnostic assessment
ANS: C
Diagnostic reasoning calls for the nurse to formulate a diagnostic hypothesis; the nursing process calls for a nursing diagnosis.
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A client has a tracheostomy that is 3 days old. Upon assessment, the nurse notes the client's face is puffy and the eyelids are swollen. What action by the nurse takes priority?
a. Assess the client's oxygen saturation. b. Notify the Rapid Response Team. c. Oxygenate the client with a bag-valve-mask. d. Palpate the skin of the upper chest.
The nurse keeps in mind that a thorough skin assessment is extremely important because the skin holds information about a person's:
a. Support systems. b. Circulatory status. c. Socioeconomic status. d. Psychological wellness.
Order: Polymixin B sulfate 25,000 units/kg/d in four equally divided doses IM. The label on the vial reads 500,000 units. The manufacturer recommends diluting 500,000 units with 5 ml of sterile water
How many milliliters will you prepare for a single dose if the patient weighs 150 pounds? 1. 4.3 mL 2. 7.5 mL 3. 68.2 mL 4. 0.85 mL
Which combination of expressing pain could be demonstrated in a neonate?
a. Low-pitched crying, tachycardia, eyelids open wide b. Cry face, flaccid limbs, closed mouth c. High-pitched, shrill cry, withdrawal, change in heart rate d. Cry face, eye squeeze, increase in blood pressure