How does a nursing diagnosis differ from a medical diagnosis? A nursing diagnosis is:
a. Terminology for the client's disease or injury
b. A part of the client's medical diagnosis
c. The client's presenting signs and symptoms
d. A client's response to a health problem
D
A nursing diagnosis is the client's response to actual or potential health problems.
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The nurse is assessing a client's risk for formation of pressure ulcers. One of the most important risk factors is:
1. Repeated injections in the same area 2. Incorrect application of pressure-relieving devices 3. Poor lifting techniques 4. Immobility
The nurse is caring for a patient who has not been able to sleep. The physician orders a barbiturate medication for this patient. What adverse effect should the nurse teach the patient about?
A) Double vision B) Paranoia C) Tinnitus D) Thinking abnormalities
A patient with an ischemic stroke has a blood pressure of 200/110 mmHg. Which action should the nurse anticipate?
A) Administering antihypertensives to lower the blood pressure as quickly as possible. B) Administering antihypertensives if the blood pressure exceeds 220/120 mmHg. C) Administering antihypertensives to lower blood pressure by 25% over 24 hours. D) Administering antihypertensives to lower the blood pressure to less than 140/80 mmHg.
All of the following statements about the Beer's List are true except:
1. It is a list of medications or medication classes that should generally be avoided in persons 65 years or older because they are either ineffective or they pose unnecessarily high risk for older persons and a safer alternative is available. 2. It is derived from the expert opinion of one geriatrician and is not evidence-based. 3. These criteria have been adopted by the Centers for Medicare and Medicaid Services for regulation of long-term care facilities. 4. These criteria are directed at the general population of patients over 65 years of age and do not take disease states into consideration.