Which statements reflect collaborative problems? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Knowledge deficit related to infant safety as evidenced by mother leaving crib rail down
2. Sleep apnea
3. Neonatal abstinence syndrome
4. Gestational diabetes
5. Sleep pattern disturbance related to hospital environment and routines
2,3,4
Rationale 1: The nurse can diagnose this knowledge deficit and use independent nursing interventions to address the problem. This is a nursing diagnosis.
Rationale 2: Sleep apnea is a medical diagnosis and therefore a collaborative problem.
Rationale 3: Neonatal abstinence syndrome is a medical diagnosis and therefore a collaborative problem.
Rationale 4: Gestational diabetes is a medical diagnosis and therefore a collaborative problem.
Rationale 5: The nurse can diagnose that a patient has disturbed sleep and can intervene to reduce noise and other disturbances in the environment. This is a nursing diagnosis.
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A patient is unable to perform rapid alternating movements such as rapidly patting her knees. The nurse should document this inability as:
a. Ataxia. b. Astereognosis. c. Presence of dysdiadochokinesia. d. Loss of kinesthesia.
Circumcision of young girls from early childhood through adolescence is widespread in which of the following counties? Select all that apply
a. Brazil d. England b. China e. Pakistan c. Somalia f. Philippines
A patient diagnosed with systemic lupus erythematosis is experiencing a facial rash. What should the nurse instruct the patient regarding skin care?
Select all that apply. 1. Avoid being out of doors during hours of greatest sun intensity. 2. Use sunscreen with an SPF of 15 or higher. 3. Apply hydrocortisone cream 1% to the rash 4?6 times/day. 4. Reapply sunscreen after swimming, exercising, or bathing. 5. Wear a wide-brimmed hat when outside.
The physician prescribes furosemide (Lasix) 40 mg IV push (IVP) now, methylprednisolone (Solu-Medrol)
75 mg IVP now, and ceftriaxone (Rocephin) 1 g IV piggyback after the furosemide (Lasix). Indicate the expected outcome for V.M. that is associated with each of the medications he is receiving.