Nokea
Any health care condition that requires diagnostic therapeutic or educational actions is known as a ____
Correct Answer: Problem
Rationale: A problem is any health care condition that requires diagnostic, therapeutic, or educational actions.
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During an admission assessment the nurse collects objective and subjective data. What is an example of subjective data?
- A. The patient is coughing.
- B. The patient has cyanosis of the lips.
- C. The patient experiences tachypnea.
- D. The patient complains of generalized discomfort.
Correct Answer: D
Rationale: Subjective data are the verbal statements provided by the patient. Statements about nausea and descriptions of pain, fatigue, and anxiety are examples of subjective data. Complaining of generalized discomfort is an example of subjective data. All other options are examples of objective data.
Human responses to levels of wellness in an individual family or community that have a readiness for enhancement are known as a ____ patient problem
Correct Answer: wellness
Rationale: A wellness patient problem is defined as human responses to levels of wellness in an individual, family, or community that have a readiness for enhancement.
What documentation reflects implementation?
- A. Patient selected low-sugar snacks independently.
- B. Patient was medicated with Tylenol 500 mg PO for pain.
- C. Patient was ambulated for 15 minutes after lunch.
- D. Patient participated in group therapy session without reminder.
Correct Answer: C
Rationale: Implementation is the nurse carrying out nursing orders to promote outcome achievement.
Which nursing intervention is complete and correct?
- A. May 10: Unlicensed assistive personnel will ambulate patient. A. Nurse
- B. Day nurse will cleanse wound and change dressings every day. May 10 A. Nurse
- C. Unlicensed assistive personnel will serve 8 oz glass of juice at each meal 5/10.
- D. P.M. nurse will ensure that heel protectors are in place before bedtime.
Correct Answer: B
Rationale: Nursing orders must be signed, dated, and have specific designation as to who will perform intervention and specifics about time or frequency of the intervention.
What is the primary purpose of nursing interventions?
- A. To support health care provider's orders
- B. To provide direction for all caregivers
- C. To provide broad general statements
- D. To clarify nursing principles
Correct Answer: B
Rationale: Nursing orders are necessary to provide instructions for all caregivers.