Nokea
What is an example of an appropriate Patient problem?
- A. Impaired skin integrity
- B. Skin breakdown noted
- C. Turn patient every 2 hours
- D. The patient has scabies on his back
Correct Answer: A
Rationale: Impaired skin integrity' is an example of a patient problem. 'Skin breakdown noted' is an example of a charting entry, 'turn patient every 2 hours' is a nursing intervention, and 'scabies' is a medical diagnosis.
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What is an example of an appropriate patient problem?
- A. Constipation
- B. Patient complains of constipation
- C. Need for laxatives
- D. Patient has a duodenal ulcer
Correct Answer: A
Rationale: Constipation is an example of a patient problem, a patient complaining of constipation is an example of a charting entry, a need for laxatives is an example of a patient need, and a patient has a duodenal ulcer is an example of a medical diagnosis.
From where are the "risk for" patient problems identified?
- A. The care plan
- B. The interventions
- C. The assessment
- D. The evaluation
Correct Answer: C
Rationale: Patient problems should be identified from the assessment.
The document that outlines a plan for care interventions over a specified time frame is called a clinical pathway critical path action plan or caremap.
Correct Answer: multidisciplinary
Rationale: A clinical pathway is an organized multidisciplinary plan over a specified time frame, which outlines aspects of patient care. They are also called critical paths, action plans, and care maps.
What objective data should the nurse include after a patient assessment?
- A. Headache of 3 days' duration
- B. Severe stomach cramps
- C. Flatulence
- D. Anxiety
Correct Answer: C
Rationale: Objective data are observable and measurable by people other than the patient.
Which is an example of a medical diagnosis?
- A. Pain
- B. Anxiety
- C. Pneumonia
- D. Impaired skin integrity
Correct Answer: C
Rationale: Pneumonia is the only example of a medical diagnosis; all other options are examples of patient problems.