The nurse uses the risk for nursing diagnoses as identified from the:
a. care plan.
b. interventions.
c. assessment.
d. evaluation.
Question 2The 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 3When 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 4If 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 5An 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 6A 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 7The 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 8The 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.