A nursing diagnosis for a client with a psychiatric disorder serves the purpose of
a. justifying the use of certain psychotropic medication.
b. providing data essential for insurance reimbursement.
c. providing a framework for selecting appropriate interventions.
d. identifying information to be placed on DSM-IV-TR axis III.
Ans: c. providing a framework for selecting appropriate interventions.
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When the ICU nurse administers medications to a pediatric ICU patient, the dosage is based on the
A) child's gestational age. B) patient's vital signs. C) standard dosage chart for age. D) child's weight in kilograms.
After a renal biopsy, what symptom indicates a significant complication of this procedure?
A) Increasing hematuria B) Increased urine volume C) Heart rate 60 to 100 D) Mean arterial pressure 85
The parents of a 2-year-old child tell the nurse they are concerned because the toddler has started to use "baby talk" since the arrival of their new baby. What should the nurse recommend?
a. Ignore the baby talk. b. Tell the toddler frequently, "You are a big kid now." c. Explain to the toddler that baby talk is for babies. d. Encourage the toddler to practice more advanced patterns of speech.
The spouse of a patient who is prescribed
promethazine (Phenergan) as part of her antiemetic therapy with chemotherapy reports that after the last dose the patient did not remember the drive home. What is your best action? a. Thank the spouse for reporting the problem, and document the adverse drug reaction. b. Hold the dose of promethazine for this round of chemotherapy until the patient is seen by the prescriber. c. Reassure the patient and spouse that this is a normal response to the drug and stress that the patient should not drive. d. Perform a mini-mental status examination and assess the patient's pupillary reflexes before administering the promethazine.