What is one advantage of having a standard classification of nursing interventions?
A) to standardize nomenclature (names or terms)
B) to legitimize the use of the nursing process
C) to classify indicators of patient outcomes
D) to facilitate documentation of expected goals
A
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Patients experiencing DKA (diabetic ketoacidosis) demonstrate a much higher level of ketoacidosis than patients experiencing HHS (hyperosmolar hyperglycemic state). Why does this occur?
A) Patients with HHS produce just enough insulin to prevent ketosis. B) Only patients with Type 1 diabetes experience ketoacidosis. C) HHS develops too quickly to build up a high level of ketoacidosis. D) The fluid loss in HHS is too mild to allow a high level of ketoacidosis.
The nurse is teaching a patient ways to increase the amount of dietary carbohydrates to increase current level of energy. Which meal, highest in carbohydrates, indicates the patient understands the information presented
1) Turkey sandwich, chips, side salad, and fruit cup 2) Steak, baked potato, and cheesecake 3) Baked chicken breast, green beans, and ice cream sundae 4) Filet of sole with tartar sauce
When children learn new developmental skills, the new skills:
a. take longer to learn than earlier skills c. predominate over older skills b. cause the child anxiety d. are a minor focus compared to old skills
A nurse identifies that a client is in Phase 3 of the developmental stages of a crisis. Which symptoms should the nurse anticipate when caring for this client?
A) The individual may try to view the problem from a different perspective, or even to overlook certain aspects of it. B) Cognitive functions are disordered, emotions are labile, and behavior may reflect the presence of psychotic thinking. C) The client has developed anxiety. D) Feelings of confusion and disorganization prevail.