The nurse is entering assessment findings for a patient scheduled for surgery. Which standardized terminology will the nurse most likely use?
A) The Omaha System
B) The PeriOperative Nursing Data Set (PNDS)
C) North American Nursing Diagnosis International (NANDA-I)
D) International Classification of Nursing Practice (ICNP)
B) The PeriOperative Nursing Data Set (PNDS)
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The nurse explains that the two divisions of the autonomic nervous system work to maintain homeostasis. Place in order the autonomic events. (Separate letters by a comma and space as follows: A, B, C, D)
a. Parasympathetic nervous system dominates b. Extremely stressful or frightening event c. Blood pressure, heart rate, and adrenaline output decrease d. Sympathetic nervous system dominates e. Heart rate and blood pressure rise, secretion of adrenaline
A patient states she has taken megadoses of vitamin E for 3 months to improve her circulation but thinks she feels somewhat worse. Which action should the nurse take first?
a. Assess the patient for symptoms and signs of toxicity from excess vitamin exposure. b. Note that research has not shown that vitamin megadoses produce any benefits. c. Explain to the patient that megadoses may actually be harmful and advise caution. d. Assess for signs of circulatory impairment to determine whether improvement has occurred.
After teaching a group of students about the nursing process, the instructor determines that the teaching was successful when the students identify goals and expected outcomes as components of which phase?
A) Assessment B) Analysis C) Planning D) Implementation
Once a window is cut, the solid piece of cast is replaced in its original site and secured with adhesive tape or a roller bandage
Indicate whether the statement is true or false