The ability of NPs to diagnose and treat has increased the provision of health care, teaching, and client compliance with teaching plans. In some states standing orders for the manage-ment of certain illnesses exist. This implies:
1. All patients will be treated the same.
2. Nursing diagnoses are used as the basis of practice.
3. Assessment is based on the medical model and does not involve nursing.
4. The NP uses protocols or algorithms that were previously agreed upon by the physician and the NP.
4
Protocols and algorithms are frequently used by nurses who are practicing independently. These were previously agreed upon by the physician and NP.
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A client who has been in an accident but is unhurt is displaying moderate anxiety, including
scattering of attention, dizziness, nausea, tachycardia, and hyperventilation. The statement indicating that the nurse is reacting to the client's relief behavior rather than her needs is a. "It must have been a frightening experience to be in an accident.". b. "Accidents can result in all kinds of feelings. It must have been scary.". c. "I'll stay with you in case you would like to share your feelings with me.". d. "There is nothing physically wrong with you. You need to stop breathing so rapidly.".
A patient is being treated in the critical care unit for urosepsis. The patient's level of consciousness has decreased over the past 12 hours, but the nurse is continuing to conduct regularly scheduled pain assessments in the knowledge that:
A) Pain is associated with a consequent decrease in renal function. B) Pain blunts the patient's awareness of other important signs and symptoms. C) Pain contributes to hyperglycemia and hypoglycemia. D) Pain increases the patient's cardiac workload.
You are admitting a patient with a heart murmur. You note there is a depression in the lower portion of the sternum. What is this type of chest deformity called?
A) A barrel chest B) A funnel chest C) A pigeon chest D) Kyphoscoliosis
A patient is admitted with an infected leg. The nurse notes an increase in a patient's white blood cell count. The nurse is aware that during the immune response, pathogens are engulfed by white blood cells that ingest foreign particles
What is this process known as? A) Apoptosis B) Phagocytosis C) Antibody response D) Cellular immune response