A nurse assessing a patient with a nursing diagnosis of impaired verbal communication is aware that the least number of defining characteristics for this diagnosis is:
a. one.
b. two.
c. three.
d. four.
Question 2When documenting in a patient's chart, the nurse should:
a. include speculation.
b. chart consecutively.
c. leave blank spaces.
d. include retaliatory comments.
Question 3The Centers for Disease Control (CDC) classifies wounds according to the amount of contamination. An uninfected surgical wound with less than a 5 chance of becoming infected postoperatively is classified as a:
a. dirty wound.
b. clean-contaminated wound.
c. contaminated wound.
d. clean wound.
Question 4The nurse clarifies that child abuse and neglect are complicated and preventable problems falling under the broader term of child:
a. abandonment.
b. mismanagement.
c. maltreatment.
d. torment.
Question 5The nurse explains that electrocardiograms are graphic representations of electrical impulses generated by the heart and can identify abnormalities that:
a. produce a cardiac cycle.
b. interfere with electrical conduction.
c. result from a interrupted blood flow.
d. interfere with heart contraction.
Question 6A grieving young widow cries out, Why was my husband killed? Why wasn't it me? The best response from the nurse would be:
a. stating You need to be strong for your children.
b. silently placing her hand on the widow's arm.
c. asking if there is anyone the widow needs to have notified.
d. stating You are feeling overwhelmed about your husband's death.
Question 7If the nurse makes an error while documenting in a patient's chart, the nurse should:
a. scratch out the error.
b. apply correction fluid.
c. erase the error completely.
d. draw a single line through the error.
Question 8Because the physician has not ordered a dressing change for a draining wound, the nurse should assess the amount of drainage by:
a. weighing the patient to estimate the weight of the saturated dressing.
b. reinforcing the dressing.
c. circling and dating the outline of the exudate on the dressing.
d. counting each dressing as 1 mL of drainage.
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