The LPN/LVN is a member of the health care team and assists the RN to follow a plan of care once the nursing diagnoses are shared with the team
Identify one of the major problems the nurse may have in getting accurate answers when developing a nursing diagnosis. 1. Patients who are elderly and sick.
2. Patients only in for 24-hour admissions.
3. Parents with children as patients.
4. Parents who are bilingual with children as patients.
1
Getting accurate answers to questions may be harder with children, elderly patients, or people whose language or culture is different from yours.
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The nurse is interviewing the mother of a three-week-old Caucasian infant. Which statement by the mother indicates she requires further education about her infant's eyes?
1. "It's normal for my baby not to produce tears when she cries.". 2. "At this stage, my baby should be able to fixate on a bright light or something that moves.". 3. "My baby's eyes are blue and definitely will stay blue.". 4. "It was normal for my baby's eyes to be swollen after birth.".
Clients with head injuries should be placed in which of these positions?
a. dorsal recumbent c. semi-Fowler's b. prone d. side-lying
The nurse is reviewing the following laboratory results and determines that which of the following requires immediate intervention?
• WBC 14,600 mm3 • Monocyte count 6:% • Wound culture showing no growth • Sedimentation rate female patient 9 mm/hr
The nurse is planning a refeeding program for a patient diagnosed with cachexia from AIDS. Which of the following would be the best approach to take with this patient?
1. encourage the patient to ingest as much food as possible during each meal 2. plan to have the patient ingest the established goal of calories within 2 days 3. limit the patient's intake of fluids so to encourage a normal appetite 4. increase calories daily at the rate of 20 kcal/kg of the patient's body weight