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alis alis
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Posts: 355
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6 years ago
The nurse uses the risk for nursing diagnoses as identified from the:
 
  a. care plan.
  b. interventions.
  c. assessment.
  d. evaluation.

Question 2

The wellness/illness continuum is defined as:
 
  a. a concept that never changes.
  b. the range of a person's total health.
  c. a continuum influenced only by one's physical condition.
  d. an idea that focuses strictly on an individual's social well-being.

Question 3

When a patient with a respiratory infection complains that he is not yet on an antibiotic, the nurse explains that the physician is waiting on the results of the culture and sensitivity because this test determines:
 
  a. what media the bacteria requires to grow.
  b. how fast the bacteria grow.
  c. which antibiotics stop bacterial growth.
  d. when the bacteria colonize.

Question 4

If a patient recovering from a hemorrhoidectomy experiences dizziness within 5 minutes when taking a sitz bath, the nurse should:
 
  a. cover the patient to prevent chilling.
  b. stay with the patient until the full time for the bath has elapsed.
  c. remove the patient from the sitz bath and return to bed.
  d. assess vital signs every 5 minutes during the remainder of the sitz bath.

Question 5

An important consideration when developing the care plan is to ensure that:
 
  a. the number of interventions is limited.
  b. the patient is involved in the process.
  c. interventions will be easy to implement.
  d. evaluation of the nursing diagnoses is possible.

Question 6

A 2-year-old child with laryngotracheobronchitis (LTB) is fussy and restless in the oxygen tent. The oxygen level in the tent is 25, and blood gases are normal. The nurse should:
 
  a. restrain the child in the tent and notify the physician.
  b. increase the oxygen concentration in the tent.
  c. take the child out of the tent and into the playroom.
  d. ask the mother for help in comforting the child.

Question 7

The nurse explains that the purpose of a sitz bath is to reduce inflammation in the perineal and anal area and should last at least:
 
  a. 10 to 15 minutes.
  b. 20 to 30 minutes.
  c. 30 to 40 minutes.
  d. 1 hour.

Question 8

The document that was published in 1965 by the ANA that clearly defined two levels of nursing practice is the:
 
  a. licensing standards.
  b. position paper.
  c. Smith-Hughes Act.
  d. Nurse Practice Act.
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Replies
wrote...
6 years ago
Answer to #1

C
Nursing diagnoses should be identified from the assessment.

Answer to #2

B
The wellness/illness continuum is defined as the range of a person's total health. This continuum is ever-changing and is influenced by the individual's physical condition, mental condition, and social well-being.

Answer to #3

C
Sensitivity tests are done to determine which antibiotics will stop growth.

Answer to #4

C
The patient may become dizzy during a sitz bath due to dilation of the large vessels in the abdomen. If this occurs, the patient should be removed from the sitz bath and returned to bed. Vital signs should be assessed until they return to normal.

Answer to #5

B
Plans are more effective when the patient is involved in the process. The care plan is not limited in terms of the number of interventions, nor do they have to be easy. The nursing diagnoses are not evaluated; the patient's progress toward the outcome is.

Answer to #6

B
The child with LTB should be placed in the mist tent with 30 oxygen. Restlessness is caused by poor oxygenation.

Answer to #7

B
The sitz bath should last 20 to 30 minutes.

Answer to #8

B
The ANA's position paper of 1965 defined two levels of nursing: registered nurse and technical nurse.
alis Author
wrote...
6 years ago
All correct!
wrote...
6 years ago
Happy to help
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