The nurse realizes that the primary focus of nursing is on the:
a. illness.
b. cause of the illness.
c. treatment of the illness.
d. client's response to the illness.
ANS: D
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The nurse identifies several factors that may contribute to sensory overload in a hospitalized school-age child, including
1. Narcotic medications 2. Being one of several children in a family 3. Diagnosis of chicken pox 4. Having intravenous lines inserted
Failures and inadequacies in the health care facility's operation and organization are often misinterpreted as ethical issues. These issues are known as
a. systems problems. c. ethical issues. b. social problems. d. governmental problems.
During a well-baby health maintenance visit, the nurse notices the infant does not demonstrate expected developmental milestones for age. Which nursing intervention is the priority in this situation?
1. The nurse should initiate a consult with social services for a home assessment. 2. The nurse should consult with the health care provider. 3. The nurse should ask the parents questions about their play activities with the infant. 4. The nurse should prepare the family for a potentially upsetting diagnosis.
The nurse is caring for a client who is taking a drug known to cause nephrotoxicity. Which interventions are appropriate to prevent drug-induced nephrotoxicity?
1. Encouraging hydration 2. Monitoring diagnostic lab tests for changes in kidney function 3. Identifying drugs that affect kidneys and discuss adjusting doses 4. Determining whether the client has kidney impairment 5. Providing proper nutrition