A client is admitted to the hospital with an acute episode of chronic obstructive pulmonary (lung) disease
The nurse makes a diagnosis of Ineffective Breathing Pattern related to inability to maintain adequate rate and depth of respirations and has recorded the diagnosis and appropriate goals on the care plan. When selecting nursing interventions, what should the nurse do first?
a. Identify several interventions likely to achieve the desired outcomes.
b. Review the problem and etiology of the nursing diagnosis.
c. Choose the best interventions for the patient.
d. Review the goals she has written.
B
The process of choosing interventions is first to review the nursing diagnosis and etiology; then review the desired outcomes; identify several interventions or actions; choose the best interventions for the patient; and then individualize standardized interventions to meet the patient's unique needs.
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The nurse knows which of the following components listed below is needed for long-lasting immunity in a client with a diagnosis of sepsis without the causative agent identified?
A) Neutrophils B) Lymphocytes C) Colony-stimulating factors D) Natural killer cells
A client recovering from pericarditis is prescribed NSAIDs for inflammation. The nurse should instruct the client to:
1. Weigh weekly. 2. Restrict fluids. 3. Take two baby aspirin a day. 4. Take the medication on an empty stomach.
The United States ranks 27th in terms of worldwide infant mortality rates. Which factor has the greatest impact on decreasing the mortality rate of infants?
a. Providing more women's shelters b. Ensuring early and adequate prenatal care c. Resolving all language and cultural differences d. Enrolling pregnant women in the Medicaid program by their eighth month of pregnancy
The nurse is caring for a client who received a diagnosis of breast cancer several weeks ago and was admitted to the hospital for a radical mastectomy to be followed by initiation of chemotherapy
The nurse is aware of the client's poor prognosis secondary to multiple metastasis sites. The client tells the nurse, "I'm a fighter and I am going to beat this cancer and do whatever it takes to survive.". The nurse's best response is aimed at: 1. Helping the client face the reality of the situation and the low chance of survival. 2. Supporting the client's determination and providing information to promote recovery. 3. Encouraging the client to prepare for death while fighting for survival. 4. Talking with the family about the client's unrealistic expectations.