When the nurse is evaluating the effectiveness of nursing interventions, which of the following is done?
a. Comparing nursing diagnoses to goals and outcomes
b. Comparing nursing diagnoses to medical diagnoses
c. Comparing goals and outcomes to client's progress
d. Comparing medical orders to client vital signs data
ANS: C
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To alleviate pain associated with trigeminal neuralgia a patient is taking Tegretol (carbamazepine). What side effects would it be important for the nurse to inform the patient may occur from taking Tegretol?
A) Skin discoloration B) Drowsiness C) Insomina D) Tinnitus
Which statement by a patient receiving nitroglycerin ointment indicates the need for additional teaching?
a. "I will remove the previous dose before I put on the new dose." b. "I will reapply the dose every 4 hours around the clock." c. "I must avoid rubbing my skin when I put on a new dose." d. "I will put tape over the paper so that the dose stays in place."
The patient has a deep vein thrombosis (DVT) and is admitted for initial heparin therapy. Which order(s) would the nurse want to validate with the physician?
1. Heparin 1,000 units intravenous (IV) every 6 hours 2. Tylenol as needed (PRN) for headaches 3. Obtaining a daily weight on the patient 4. Advil as needed (PRN) for headaches 5. Low vitamin K diet
The nurse outlines the treatment for a person with anxiety disorders, which include(s) which of the following? (Select all that apply.)
a. Anxiolytic medication. b. Education about disorder. c. Individual therapy. d. Relaxation techniques. e. Stress management.