The nurse has identified a nursing diagnosis of anxiety. To assist the client to meet the outcome, "Client will express the ability to manage anxiety consistently," which of the following references would the nurse use to continue the nursing
process? A) Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR)
B) Nursing Interventions Classification (NIC)
C) North American Nursing Diagnosis Association (NANDA) lists
D) Nursing Outcomes Classification (NOC)
B
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Following an injury where a child hit his head from a fall, the CT scan reveals a contusion that the doctor classifies as a moderate brain injury
Which of the following manifestations will the nurse more than likely assess on this child that support this diagnosis? Select all that apply. A) Coma with total paralysis B) Periods of unconsciousness C) Aphasia at times D) Nuchal rigidity E) Weakness or slight paralysis affecting one side of the body
A patient is currently being stimulated by the parasympathetic nervous system. What effect will this nervous stimulation have on the patient's bladder?
A) The parasympathetic nervous system causes urinary retention. B) The parasympathetic nervous system causes bladder spasms. C) The parasympathetic nervous system causes urge incontinence. D) The parasympathetic nervous system makes the bladder contract.
What intervention should be included on a plan of care to prevent pressure ulcer development in healthcare settings?
A) Change position at least once each shift. B) Implement a turning schedule every 2 hours. C) Use ring cushions for heels and elbows. D) Do not turn, use pressure-relieving support surface.
A pregnant woman with gestational diabetes comes to the clinic for a fasting blood glucose level. When reviewing the results, the nurse determines that which result indicates good glucose control?
A) 90 mg/dL B) 100 mg/dL C) 110 mg /dL D) 120 mg/dL