What provides the basis for selection of nursing interventions?

A) Database
B) Nursing interventions
C) Nursing diagnoses
D) Evaluation


Ans: C

Nursing

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A patient of Japanese heritage avoids asking for narcotics for pain relief. The nurse writes a nursing diagnosis of "Pain related to reluctance to take medication secondary to cultural beliefs."

If the cultural archetype is true for this particular patient, this probably means that the patient views pain as: 1) A punishment for immoral behavior. 2) A part of life. 3) Best treated with herbal teas and prayer. 4) A virtue and a matter of family honor.

Nursing

Which of the following must be measured indirectly? (Select all that apply.)

a. Number of miles from San Francisco to Disneyland b. Level of consciousness c. Height d. Hope e. Liver function

Nursing

The nurse is performing an abdominal assessment on a child. When percussing over the stomach, the nurse should hear which sound?

a. Tympany b. Resonance c. Flatness d. Dullness

Nursing

Alcohol is metabolized in the body to produce a toxic substance, which is further metabolized and excreted. This metabolite of alcohol is which of the following?

a. cholinesterase b. glyburide c. acetaldehyde d. formaldehyde

Nursing