A comprehensive standardized language for nursing intervention that is recognized by the ANA is the
a. Nursing Minimum Data Set c. Nursing Intervention Classification
b. NANDA classifica-tion d. problem-oriented medical record
C
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MC If aspiration of a foreign body is suspected and one attempt to ventilate is not successful, your next intervention is to
A. Administer four quick breaths. B. Deliver four back blows. C. Deliver four abdominal thrusts. D. Reposition head and attempt to ventilate.
The nurse is interviewing a client who has recently been diagnosed with atherosclerosis in the client's coronary arteries
Which of the following questions by the nurse has the highest priority to help the nurse determine the client's most important risk factor for this condition? 1. "Can you please tell me about the vitamins or supplements that you take?" 2. "Have you ever been diagnosed with rheumatic fever?" 3. "Do you smoke or are you exposed to secondhand smoke?" 4. "Have you ever had a diagnostic test, such as an electrocardiogram, stress test, or echocardiogram, or a surgical procedure for a cardiovascular problem?"
A family history of digestive disorders is especially important because several, such as colorectal cancer, have a hereditary link
Indicate whether the statement is true or false
During which phase of maternal adjustment will the mother relinquish the baby of her fantasies and accept the real baby?
a. Letting go b. Taking hold c. Taking in d. Taking on