A nursing diagnosis differs from a medical diagnosis in that
a. It describes the impact a specific disease has on a patient's day-to-day activities
b. It identifies a specific disease process affecting a specific body system
c. It focuses on the person's individual problems
d. Both A and C
D
A nursing diagnosis is specific to the patient's nursing care needs and relates to the areas in which the individual has difficulty functioning. For example, a patient with a medical diagnosis of diabetes may have skin integrity problems that are addressed in the nursing diagnosis and plan of care.
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Which of the following interventions would be appropriate for a faith community nurse who bases care on the CIRCLE Model of Spiritual Care? (Select all that apply.)
a. Giving a mini sermon based on the specific client problem b. Listening and showing respect without any actual intervention c. Suggesting to the client what would be an appropriate response to the situation d. Showing love and empathy toward the client and the situation e. Calling the client by name during the conversation f. Allowing time for prayer during the client interaction
The nurse is planning care for her patients and is concerned about skin breakdown and delayed wound healing
Which of the following patients are likely to be at a higher risk for wound heal-ing should they develop a pressure ulcer? (Select all that apply.) a. An elderly female patient with mobility issues b. A young diabetic patient in traction and on bed rest c. A teenager receiving chemotherapy d. An elderly man with stage IV congestive heart failure e. A middle-aged woman with lupus who is having back surgery but is ambulatory
The nurse is reviewing the laboratory values for a client prescribed theophylline (Theo-Dur). Which of the following would indicate a therapeutic level of this medication?
1. 2.0 mcg/mL 2. 5.0 mcg/mL 3. 15 mcg/mL 4. 25 mcg/mL
The nurse caring for a diabetic client with chronic renal failure classifies the client's hypertension as:
1. Primary. 2. Secondary. 3. Malignant. 4. Genetic.