Podcast
Questions and Answers
Match the following steps of the nursing diagnostic process:
Match the following steps of the nursing diagnostic process:
1 = Assess the client's health status. 2 = Validate the data with other sources. 3 = Interpret the meaning of the data. 4 = Cluster data. 5 = Look for defining characteristics. 6 = Identify the client's needs. 7 = Formulate nursing diagnoses.
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Study Notes
In Vitro Fertilization Risks
- Tubal pregnancy is a risk associated with in vitro fertilization embryo transfer (IVF-ET).
Critical Thinking in Nursing
- Ability to reflect on own judgments showcases maturity in nursing critical thinking skills.
Child Behavior and Independence
- A 2-year-old shaking their head "no" while attempting to climb out of the crib is asserting independence.
Neonatal Conditions
- Nevi are small, flat pink spots that may appear on a newborn’s nape of the neck.
Breastfeeding Complications
- Mastitis, characterized by redness, pain, fever, and malaise in breastfeeding mothers, is a common condition.
Client Motivation for Learning
- A 56-year-old heart attack survivor requesting exercise information is likely to be the most motivated to learn self-care health information.
Pregnancy Complications
- A pregnant client experiencing sharp abdominal pain, fetal hyperactivity, and dark-red bleeding may indicate partial abruptio placentae.
Multiple Gestation Risks
- Perinatal mortality in multiple-gestation pregnancies is two to three times higher than in single births, making them high-risk.
Neurodevelopmental Disorders
- Attention-deficit/hyperactivity disorder (ADHD) is classified as a neurodevelopmental disorder.
Collaborative Problems in Nursing
- Collaborative problems are identified by the nurse during the nursing diagnosis stage.
Assessments in Nursing Diagnosis
- The nurse derives the "related to" factors for a nursing diagnosis by asking the client to explain their surgery.
Postpartum Hemorrhage Risk Factors
- A client giving birth to an infant weighing 9 lb 8 oz (4366 g) is at increased risk for postpartum hemorrhage.
Infection Risk Management
- An expected desired outcome for clients at risk for infection is to be free of signs and symptoms of infection by discharge.
Preschool Age Understanding of Death
- Preschoolers often view death as a form of sleep.
Celiac Disease Education
- The primary issue in celiac disease is intolerance of gluten.
Preeclampsia Indications
- Signs such as rapid weight gain, increased blood pressure, and proteinuria suggest mild preeclampsia.
HIV Diagnosis
- A positive HIV diagnosis is confirmed through positive ELISA and Western blot tests.
Pregnancy and Medication Responses
- Longer gastrointestinal emptying time is a physiological change during pregnancy that affects medication response.
Nursing Process Steps
- Planning is directly affected if the nurse does not make a nursing diagnosis.
Healthy Newborn Hematocrit Levels
- A healthy newborn should have a hematocrit level between 45% and 65%.
Jaundice Risk Factors for Infants
- Risk factors for infant jaundice include infection, prematurity, breast-feeding, and maternal diabetes.
Milk Anemia in Toddlers
- Increased milk intake is the cause of milk anemia in toddlers.
Infection Prevention in Newborns
- Ophthalmia neonatorum prevention includes administering antibiotic ointment to a newborn’s eyes.
Nursing Diagnostic Process Steps
- The correct order of nursing diagnostic process steps begins with assessing the client's health status.
Toddler Social Behavior
- Toddlers seated together, not sharing but copying a picture, represent a typical expression of their social development.
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