A nursing instructor describes the use of outcomes potentially sensitive to nursing as which of the following?
A) Standardized data reflecting nursing activities
B) Medical diagnosis thought to measure nursing
C) Inverse relationship between nursing and outcomes
D) Adverse outcomes directly related to nursing care
B
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The spouse of a patient being cared for at home by hospice angrily tells the nurse, "Care provided by the aide is inadequate, so I must do everything myself. Why is this happening? Can't someone help?" The hospice nurse should:
a. provide teaching about anticipatory grieving. b. assign new hospice personnel to the case. c. refer the spouse for crisis intervention. d. arrange hospitalization for the patient.
The nurse is caring for a patient starting INH for latent tuberculosis. Which clinical manifesta-tions would most concern the nurse?
a. Cramps in the back when walking up steps b. Headaches and lightheadedness on awakening c. Dry mouth and difficulty swallowing solids d. Difficulty buttoning shirts
During the nutritional assessment, the nurse learns that a client with uncontrollable type 2 diabetes mellitus consumes a boiled wheat mixture soaked with sugar and cinnamon for breakfast every day as part of a cultural preference. What should the nurse suggest to this client?
a. Eat less of the item every day b. Eliminate the item from the diet c. Eat the item only on the weekends d. Make the item with artificial sweetener
Which of the following is an example of an intervention used in the Prob-lem-Intervention-Evaluation documentation method?
1. Risk for injury related to falling due to dizziness 2. Client fell while walking to bathroom unassisted 3. Client continues to report periods of dizziness upon sitting up 4. Educated to the purpose of dangling on the bedside before standing