A _________________ __________________ provides the basis for selection of nursing interventions to achieve outcomes for which the nurse has accountability
Fill in the blank(s) with correct word
nursing diagnosis
Rationale: Nursing diagnoses are clinical judgments about individual, family, or community experiences/responses to actual or potential health problems/life processes. A nursing diagnosis provides the basis for selection of nursing interventions to achieve outcomes for which the nurse has accountability.
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An elderly client presents with a complaint of 10-lb weight loss over the past month. Which assessment finding is most important in determining the care of this client?
A) History of seasonal allergies B) History gallbladder removal C) History of COPD D) History of osteoarthritis
While examining the throat, you find that the tonsils bilaterally extend beyond the anterior pillars and almost to the uvula. How would you grade these findings?
A) Grade I B) Grade II C) Grade III D) Grade IV
Which patient should the nurse refer for hospice care?
a. 60-year-old with lymphoma whose children are unable to discuss issues related to dying b. 72-year-old with chronic severe pain as a result of spinal arthritis and vertebral collapse c. 28-year-old with AIDS-related dementia who needs palliative care and pain management d. 56-year-old with advanced liver failure whose family members can no longer provide care in the home
A patient with a known history of diverticulosis, who is experiencing severe cramping and diarrhea, was admitted to the hospital during the night with diverticulitis
The patient's pain continues to increase and the abdomen is now very distended and hard. The patient has spiked a fever of 102.4°F. A nurse notifies the primary care physician that the patient may be developing a complication from diverticulosis that is life-threatening. This complication is 1. Crohn disease. 2. Irritable bowel syndrome (IBS). 3. Fecal incontinence. 4. Peritonitis.