Which of the following would explain the need for a two-part nursing diagnosis?
1. This client has only two nursing diagnoses.
2. The client's problem is caused by two different health issues.
3. The client is at risk for developing a problem.
4. The client has an actual nursing problem.
3
Rationale 1: A two-part nursing diagnosis is used to identify a potential problem and the reason the client is at risk, such as Infection, risk for secondary to suppressed immune system. An actual problem statement has three parts that state the problem, the cause of the problem, and the signs and symptoms that validate the problem.
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A patient experiencing nausea reports to the nurse that she adds ginger root to her morning tea to calm her stomach. Which classification of medication in the patient history alerts the nurse to provide further education?
a. Antidepressants b. Proton pump inhibitors c. Anticoagulants d. Narcotics
A nursing student demonstrates the ability to use learned material in new situations. This is an example of what cognitive level?
a. Analysis b. Knowledge c. Application d. Comprehension
A client with a urinary tract infection is ordered to receive phenazopyridine hydrochloride (Pyridium) as a urinary analgesic. What information will client teaching include?
a. The medication has a high rate of adverse reactions. b. Discolored urine is evidence of an anaphylactic reaction. c. Side effects such as nausea, vomiting, and diarrhea must be reported. d. The medication will prevent future urinary tract infections.
The nurse is performing hand hygiene before assisting a health care provider with insertion of a chest tube. While washing hands, the nurse touches the sink. Which action will the nurse take next?
a. Inform the health care provider and recruit another nurse to assist. b. Rinse and dry hands, and begin assisting the health care provider. c. Extend the handwashing procedure to 5 minutes. d. Repeat handwashing using antiseptic soap.