An acquired immune defense mechanism is a flu shot
True
False
True
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Which statements accurately reflect the distinction between nursing diagnoses arrived at as part of the nursing process and medical diagnoses?
Select all that apply. A) A nursing diagnosis is determined following an assessment and analysis of data gathered only by registered nurses; a medical diagnosis is determined following an assessment and analysis of data gathered only by physicians. B) A nursing diagnosis changes as the client's responses to an illness or health situation change; a medical diagnosis remains the same as long as the disease process persists. C) A nursing diagnosis describes a client's physical, sociocultural, psychological, and spiritual responses to an illness or health condition; a medical diagnosis refers to disease processes. D) A nursing diagnosis considers the etiology of the health problem to give direction to required nursing care; a medical diagnosis does not consider the etiology of the health problem to give direction to medical care. E) A nursing diagnosis requires the nurses to consider standards and norms as well as cues from clients in discerning an appropriate nursing diagnostic label; a medical diagnosis uses standards and norms only. F) Both nursing diagnoses and medical diagnoses include a wellness diagnosis component.
The nurse is assessing a patient's neurologic status within the comprehensive health history. What will the nurse include in this assessment? (Select all that apply.)
A) Head injury B) Dizziness C) Headache D) Weakness E) Lightheadedness
Which needle size is the best choice for the nurse to use when preparing to administer three units of packed red blood cells to a 28-year-old male athlete who sustained blood loss after a posterior nosebleed that is now under control?
A. 18 gauge B. 20 gauge C. 22 gauge D. 24 gauge
A hospitalized client with a history of alcohol abuse tells a nurse, "I am leaving now. I have to go. I don't want any more treatment. I have things that I have to do right away." The client has not been dischagred. The clientis scheduled for an important diagnostic test to be performed in 1 hour. After the nurse discusses the client's concerns with the client, the client dresses and begins to walk out of the hospital room. The appropriate nursing action is to:
A. Call the nursing supervisor B. Call security to block all exit areas. C. Restrain the client until the physician can be reached. D. Tell the client that the client cannot return to this hospital again if the client leaves now.