Home health nurses typically do not provide specialized care
Indicate whether the statement is true or false
False
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A patient has had a "terrible itch" for several months that he has been continuously scratching. On examination, the nurse might expect to find:
a. A keloid. b. A fissure. c. Keratosis. d. Lichenification.
When educating a patient about risk factors for hypertension, the nurse recognizes the patient has comprehended the teaching when he states:
A) "I will need to incorporate physical activity into my daily activities." B) "My family history has no impact on risk factors for hypertension." C) "My weight does not affect my chances of developing hypertension." D) "As I get older, my chances of developing hypertension lessen."
A 72-year-old woman is brought to the ED by her family. The family states that she's "just not herself."
Her respirations are slightly labored, and her heart monitor shows sinus tachycardia (rate 110 beats/min) with frequent premature ventricular contractions (PVCs). She denies any chest pain, jaw pain, back discomfort, or nausea. Her troponin levels are elevated, and her 12-lead electrocardiogram (ECG) shows elevated ST segments in leads II, III, and AVF. The nurse knows that these symptoms are most likely associated with which diagnosis? a. Hypokalemia b. Non–Q wave MI c. Silent myocardial infarction d. Unstable angina
Which statement best describes the National Academy of Medicine (NAM) position on the use of North America Nursing Diagnosis Association (NANDA) approved nursing diagnosis (NDX) statements?
1. IOM supports the use of three-part NDX statements. 2. IOM states that the use of these NDX statements is confusing to students, practicing nurses, physicians, and other healthcare providers. 3. IOM supports the use of Nursing Intervention Classifications (NIC) rather than NANDA diagnoses. 4. IOM states that the use of NANDA nursing diagnoses along with Nursing Intervention Classifications (NIC) is the clearest way to explain a patient's plan of care.