my nursing kit Flashcards
the nurse is performing a dressing change for a client and notices that there is a new area of skin breakown near the site of the dressing. on closer exam it appears to be caused by the tape used to secure the dressing. this would be an example of which phase of the nursing process
assessment
when learning how to implement the nursing process into a plan of care for a client, the student nurse realizes that part of the purpose of he nursing process is to
identify client needs and deliver care to meet those needs
a client comes into the ED with a non life threatening wound to the hand that will require stitches. the department is quite busy with other clients, thier families and other people in the waiting room. the best way for the nurse to conduct an interview with this client is to
draw curtains around the client and nurse to provide as much privacy as possible
an infant has been admitted to the pediatric unit. the parents are quite worried and upset; the grandmother is also present, in this situation, what would be the best source of data
parents
a client comes to the clinic seeking info and education regarding healthy lifestyles and eating habits. the most appropriate diagnosis for this client is which
wellness diagnosis
a nursing diagnosis of fluid volume deficit r.t active fluid loss, secondary to diarrhea has been formulated for a client. an appropriately written goal statment for this diagnosis would be which of the followng
client will have intake of at least 1000ml w/n 24hrs
a client with Parkinson’s disease is working to improve fine motor skills, especially activities of daily living. which of the following would be considered a collaborative intervention
provide assistive devices and educate client to use a grab bar and large-handled utensils
a client has neurologic deficits that are causing tremors, unsteadiness, and weakness. an appropriate diagnosis of risk for falls r.t unsteady gait secondary to neurologic dysfunction has been formulated. a goal for this client is to not sustain any injuries for the next month. the client however has fallen several times. in this situation, the nurse should do which of the following
investigate whether the best nursing interventions were selected
nurses must use critical thinking in thier day-to day practice, especially in circumstances surrounding the client and wise use of resources. in which of the follwoing situations would critical thinking be most beneficial
educating a home health client about treatment options
a client comes into the ED with a productive cough, audible coarse crackles, elvated temp of 102.3, chills and body aches. the nurse identifies the problem as resp compromise. the nurse is using which of the following
deductive reasoning
a nurse who just moved from an urban area to a sparsely populated rural area understands that certain customs and practices the nurse is familiar with may be quite foreign to the people in the new area. this nurse is practicing which of the attitudes of critical thinking
insight into egocentricity
before beginning a particularly stressful shift in a critical care nursery, a nurse reviews personal attitudes and feelings about death and dying, diginity of people and the parental role in understanding and questioning cares and treatments. the nurse is cultivating which of the following
self assessment
the nurse is working with a client who will be discharged home in the next few days. the nurse notes that the client has orders for home health and physical therapy after discharge. the nurse plan to notify
the case manager
the nurse is caring for a client who has been placed on a critical pathway for care follwoing hip surgery. the client asks the nurse why there is a need for this type of care model. the best response by the nurse is
critical pathways give direction to the team caring for you
a nurse is having difficulty w/ a particular product that is needed to care for a client. the nurse asks a more experienced colleague to sugges ways to use the product appropriately this is an example of
staff authority
