An instructor is describing the steps of the diagnostic reasoning process to a group of students. The instructor is accurate when describing step Two, Clustering Data as involving which of the following?:
A) Hypothesizing of any potentially applicable wellness diagnoses, risk diagnoses, and actual diagnoses
B) Documentation of all professional judgments along with any data that support those judgments
C) The looking at of the identified abnormal findings and strengths for cues that are related
D) Evaluation of both subjective and objective data to identify strengths and abnormal findings
C
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A nurse assesses a client who is recovering after a coronary catheterization. Which assessment findings in the first few hours after the procedure require immediate action by the nurse? (Select all that apply.)
a. Blood pressure of 140/88 mm Hg b. Serum potassium of 2.9 mEq/L c. Warmth and redness at the site d. Expanding groin hematoma e. Rhythm changes on the cardiac monitor
What determines the functions and priorities of an organization?
A) The organization's mission statement B) The organization's budget C) Consumer satisfaction surveys D) The organization's policy and procedure statements
A client who has been hospitalized for a period of time is now being transferred to a rehabilitation center for more long-term care
As he is preparing to be discharged, the client asks the nurse if he can take his chart with them, since it's his record. The nurse responds correctly by saying: A) "You'll have to ask your doctor for permission to do that." B) "We'll make sure that all of your records are sent ahead to the rehab hospital, so you don't really have to worry about those details." C) "Actually, the original record is the property of the hospital, but you are welcome to copies of your records." D) "There's a new law that protects your records, so you're not going to be able to have access to them."
Pete is a nursing instructor who is lecturing to students about how to respond to individuals who are in the midst of a disaster
Which of the following statements would you anticipate Pete making regarding the initial nursing interventions for such individuals? A) "You should ask them to give you a brief medical history so their physical needs can be met." B) "Focus on safety needs and provide simple, clear instructions to help them function effectively." C) "Help them determine what their long-term goals are so that they can maintain hope." D) "Try to re-direct their attention from the problems at hand to decrease their anxiety."