Which diagnosis will the nurse document in a patient's care plan that is NANDA-I approved?
a. Sore throat
b. Acute pain
c. Sleep apnea
d. Heart failure
ANS: B
Acute pain is the only NANDA-I approved diagnosis listed. Sleep apnea and heart failure are medical diagnoses, and sore throat is subjective data.
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The nurse is preparing to bathe the neonate for the first time, and gathers the necessary equipment. Prior to beginning the bath, a priority action is to:
1. Weigh and measure the infant. 2. Administer eye treatment to prevent ophthalmia neonatorum. 3. Measure the baby's temperature. 4. Obtain any special outfit the mother might want to dress the baby in.
A group is working to increase the number of advanced nurse practitioners (ANPs) who have hospital admitting privileges. Which barriers should these nurses address?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. There is no Medicare regulation mandating medical staff membership of APNs. 2. The fees associated with obtaining admitting privileges are prohibitive for ANPs. 3. State laws concerning ANP admitting privileges are confusing and contradictory. 4. Some state laws limit the scope of ANP practice. 5. Some hospitals do not allow non-physicians to admit patients.
A dark-skinned client was admitted in respiratory distress. When planning to assess for cyanosis the nurse recognizes that:
A) cyanosis in clients with dark skin will need to be checked. B) it is not possible to assess color changes in clients with dark skin. C) cyanosis can be seen on the lips and mucous membranes of clients with dark skin. D) cyanosis will blanch with direct pressure to the soles of the feet in dark-skinned clients.
A licensed practical/vocational nurse caring for clients should be aware of the different types of laws that influence public life. Which situations exemplify public law (statutory law)? Select all that apply
A) The nurse provides an absentee voter's ballot for a Presidential election for a client age 18 as requested following the U.S. Constitutional 26th Amendment. B) The nurse signed a legal contract to work at a hospital according to contract law. C) The nurse follows the strict rules and regulations set forth by the nurse's state nurse practice act. D) The nurse failed to pay his rent on time and was evicted by the court from his apartment. E) The nurse follows Occupational Safety and Health Administration (OSHA) guidelines by not caring for clients requiring chemotherapy administration while pregnant.