What is the basis for designing and selecting nursing interventions to meet patient needs?
a. Nursing diagnosis
b. Care plan
c. Physician's orders
d. Nurse's notes
ANS: A
The nursing diagnosis is the basis for developing nursing interventions.
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The nurse is instructing the unlicensed assistive personnel (UAP) about the different bed positions available. Which statement by the UAP indicates the understanding of the different bed positions?
1. "Fowler's is used when assisting clients to bed for sleeping." 2. "Supine is used when assisting the client with eating." 3. "Trendelenburg is used to promote decreased gastric emptying." 4. "Semi-Fowler's is used for clients receiving gastric feedings."
Which of the following is a chronic autoimmune disorder?
a. Microcephaly b. Hashimoto disease c. Salivary gland tumor d. Down syndrome
A nurse paged the attending physician because a postmastectomy patient became somewhat agitated and tachypneic in recent hours. Despite other nurses' assertions that the patient was simply experiencing some anxiety, the nurse suspected a more serious etiology. The physician prescribed a single dose of a benzodiazepine, which was largely ineffective. Due to the nurse's persistence, diagnostics were performed, leading to a diagnosis of pulmonary embolism. Which of the following did the nurse exhibit?
A) Evidence-based practice
B) Clinical grasp
C) Patient-centered care
D) Best practice
The nurse is reinforcing teaching for a patient who has a peptic ulcer. Which of the following statements by the patient would indicate a correct understanding of what ranitidine (Zantac) does?
a. "It coats your stomach." b. "It clings to the ulcer." c. "It neutralizes stomach acid." d. "It reduces production of gastric acid."