After identifying nursing diagnoses, the nurse plans outcomes for a patient with gastroesophageal reflux disease. Which outcome should the nurse use to evaluate this patient's care?
a. The patient will have less heartburn.
b. The patient will sleep through the night.
c. The patient's esophageal burning will resolve 30 minutes after taking oral antacids.
d. The patient will state that burning only occurs when eating foods high in acid content.
ANS: C
C. Outcomes should be measurable and realistic for the patient; they should include an appropriate time frame for achievement. A. Outcomes should not be vague or open to interpretation, with the use of subjective words such as "normal," "large," "small," or "moderate." B. Sleeping through the night may or may not be associated with the patient's problem. D. Stating that the burning only occurs when eating foods high in acid content is a patient observation that could be used for subjective data collection.
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A nurse teaches a nursing student about the differences between desmopressin (DDAVP) and vasopressin (Pitressin). Which statement by the student indicates a need for further teaching?
a. "Desmopressin has a shorter duration of action than vasopressin." b. "Desmopressin is easier to administer than vasopressin." c. "Vasopressin can be used in cardiac resuscitation." d. "Vasopressin can cause serious adverse cardiovascular effects."
Police bring a patient to the emergency department after an automobile accident. The patient is ataxic with slurred speech and mild confusion. The blood alcohol level is 400 mg/dl (0.4 mg %)
Considering the relationship between behavior and blood alcohol level, which conclusion can the nurse draw? The patient: a. rarely drinks alcohol. b. has a high tolerance to alcohol. c. has been treated with disulfiram (Antabuse). d. has recently ingested both alcohol and sedative drugs.
Patients receiving chemotherapy may be especially prone to ________ because of the destruction of white blood cells.
Fill in the blank(s) with the appropriate word(s).
A 20-year-old male presents to the emergency department with a jagged sharp-force injury that is longer than it is deep. Which type of wound will the nurse be caring for?
a. Stab wound b. Incised wound c. Puncture wound d. Chopping wound