Comprehensive Nursing Process and Patient Care Flashcards for Effective Learning

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Medicine - Nursing

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khalid1090phgs Created by 9 mon ago

Cards in this deck(23)
What is the risk for skin breakdown related to immobility as evidenced by a stage III sacral wound measuring 7x3 cm?
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Is the statement 'Pain related to myocardial infarction as evidenced by patient's report of pain at 9 on the 1-10 pain scale' correct?
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Evaluate the statement: 'Ineffective airway clearance related to pneumonia as evidenced by adventitious breath sounds, sputum production, and abnormal chest x-ray.'
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Is the statement 'Fluid volume deficit related to blood loss through wound as evidenced by hemoglobin of 8 and hematocrit of 26%' accurate?
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Assess the statement: 'Readiness for enhanced knowledge of disease process.'
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A patient is admitted to the hospital with shortness of breath. As the nurse assesses this patient, the nurse is using the process of:
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The nursing process organizes your approach to delivering nursing care. To provide care to your patients, you will need to incorporate nursing process and:
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Your patient has met the goals set for improvement of ambulatory status. You would now:
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To evaluate nursing interventions, you need to examine the:
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A patient is suffering from shortness of breath. The correct goal statement would be written as:
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When caring for a patient who has multiple health problems and related medical diagnoses, nurses can best perform nursing diagnoses and nursing interventions by developing a:
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Consultation occurs most often during which phase of the nursing process?
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A patient newly diagnosed with diabetes needs to learn how to use a glucometer. Use of a glucometer constitutes:
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A client has been newly diagnosed with diabetes mellitus. The nurse should perform which action as the first step in teaching the client about the disorder?
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An 80-year-old client on the coronary step-down unit tells the nurse 'I do not need to take that docusate. I never get constipated!' Which action by the nurse is most appropriate?
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A client recently had surgery to create an ileostomy. The nurse assesses the client 3 days post-operative for which most frequent complication of this type of surgery?
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A client had a new colostomy created 2 days earlier and is beginning to pass malodorous flatus from the stoma. What is the nurse's initial action?
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A nurse is talking with a client who reports constipation. When the nurse discusses dietary changes that can help prevent constipation, which of the following foods should the nurse recommend?
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A nurse is caring for a client who has had diarrhea for the past 4 days. When assessing the client, the nurse should expect which of the following findings? (Select all that apply)
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While a nurse is administering a cleansing enema, the client reports abdominal cramping. Which of the following is the appropriate intervention?
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Nurse-initiated interventions are:
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You are writing a care plan for a newly admitted patient. Which one of these outcome statements is written correctly?
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When a patient with tuberculosis (TB) is being prepared for discharge, which statement by the patient indicates a need for further teaching?
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