A nurse caring for an older adult client in a long-term care facility notices that the bedding is wet when the client gets up in the morning. The nurse collects more data to form a conclusion. What type of problem is involved in this scenario?
A) No problem
B) Possible problem
C) Actual problem
D) Clinical problem
Ans: B
The nurse reaches one of four basic conclusions after interpreting and analyzing the client data: no problem, possible problem, actual or potential problem, or clinical problem. When dealing with a possible problem, the nurse must collect more data to confirm or disprove a suspected problem.
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A child is admitted with a suspected diagnosis of Munchausen syndrome by proxy (MSBP). What is an important consideration in the care of this child?
a. Monitoring the parents whenever they are with the child b. Reassuring the parents that the cause of the disorder will be found c. Teaching the parents how to obtain necessary specimens d. Supporting the parents as they cope with diagnosis of a chronic illness
A patient who has severe pain associated with terminal pancreatic cancer is being cared for at home by family members. Which finding by the nurse indicates that teaching regarding pain management has been effective?
a. The patient uses the ordered opioid pain medication whenever the pain is greater than 5 (0 to 10 scale). b. The patient agrees to take the medications by the IV route in order to improve analgesic effectiveness. c. The patient takes opioids around the clock on a regular schedule and uses additional doses when breakthrough pain occurs. d. The patient states that nonopioid analgesics may be used when the maximal dose of the opioid is reached without adequate pain relief.
Electrical and chemical influences make it possible for nerve impulses to occur. The nurse educator asks a student nurse to describe the resting potential of the nerve impulse
Based on this information, what would be the best explanation of the resting potential by the student nurse? 1 . Nerve cell at rest 2 . Plasma membrane more positive on outside 3 . Sodium moves inside membrane, followed by potassium 4 . Plasma membrane more positive on inside A) 1, 2 B) 1, 4 C) 2, 3 D) 3, 4
A nurse is reviewing results from a urine specimen. What will the nurse expect to see in a patient with a urinary tract infection?
a. Casts b. Protein c. Crystals d. Bacteria