A client in shock is to be assessed for inadequate oxygen delivery to the tissues. Which of the following is the first sign a nurse will observe in the initial stages of shock?
A) Cyanosis C) Altered cerebral function
B) Decreased respiratory rate D) Increased body temperature
C
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Patient acuity systems have been developed to ____
a. Identify the severity of disease processes b. Quantify the patients' needs for nursing care c. Predict nursing care needs at discharge d. Identify potential risks for complications related to their diagnosis
The nurse is caring for a patient who has been diagnosed with genital herpes. When preparing a teaching plan for this patient, what general guidelines should be taught?
A) Good hand-washing is essential after touching lesions B) Sunbathing assists in eradicating the virus. C) Lesions should be massaged with ointment. D) Self-infection cannot occur from touching lesions during a breakout.
The nursing student is caring for a female client from China who can only speak Cantonese. The best way to communication should be to use:
A) simple words and loud speech and pantomime what it is that needs to be conveyed. B) a written download from the Internet on simple phrases of Chinese. C) a picture board containing pictures of common care needs. D) a male hospital employee who speaks Cantonese to discuss sensitive female issues.
Describe the difference between nursing diagnosis and medical diagnosis. Explain why both diagnoses are necessary.
What will be an ideal response?