A nurse is preparing to document conclusions after analyzing data and includes information about related factors. The nurse is formulating which of the following?
A) Risk nursing diagnosis
B) Actual nursing diagnosis
C) Collaborative problem
D) Problem for referral
B
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The patient has been administered general anesthetic and is in stage II (the excitement stage) of anesthesia. What intervention might the nurse need to implement during this stage?
A) Rub the patient's back. B) Restrain the patient. C) Encourage the patient to express feelings. D) Stroke the patient's hand.
The act of developing a clean environment is a factor in providing effective health care as demonstrated by:
A. Nightingale. B. Benner. C. Swanson. D. King.
A patient has been taking high doses of clorazepate [Tranxene] for several months for an anxiety disorder. The nurse assessing the patient observes that the patient is agitated, euphoric, and an-xious. What will the nurse do?
a. Double-check the chart to make sure the last dose was given. b. Request an order for a longer-acting ben-zodiazepine. c. Suspect a possible paradoxical reaction to the clorazepate. d. Withhold the next dose until a drug level can be drawn.
Taking executive action that is remedial is
a. An internal action b. An external action c. An external monitoring process d. A task or relationship internal action