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Which nursing diagnosis for a psychiatric client is properly worded (i.e., includes a problem, related factor, and defining characteristics/evidence)?
Your patient is preoccupied with perfection and control, has difficulty relaxing, exhibits rule-conscious behavior, and cannot discard anything. What type of personality disorder does this behavior reflect?
A woman who is at 36 weeks of gestation is having a nonstress test. Which statement indicates her correct understanding of the test?
After completing a second vaginal examination of a client in labor, the nurse-midwife determines that the fetus is in the right occiput anterior position and at (-1) station. Based on these findings, the nurse-midwife knows that the fetal presenting part is:
Following a precipitous delivery, examination of the client's vagina reveals a fourth-degree laceration. Which of the following would be contraindicated when caring for this client?
The nurse is performing discharge teaching on a client with ulcerative colitis who has been placed on a low-residue diet. Which food would need to be eliminated from this client's diet?
Immediately after delivery, the nurse-midwife assesses the neonate's head for signs of molding. Which factor determines the type of molding that occurs?
The nurse is providing postpartum instructions to a client who will be breast-feeding her newborn. The nurse determines that the client has understood the instructions if she makes which statement?
The nurse is assessing a trauma client in the emergency room and notes a penetrating abdominal wound with exposed viscera. The nurse should:
The client with diabetes is preparing for discharge. During discharge teaching, the nurse assesses the client's ability to care for himself. Which statement by the client indicates a need for follow-up after discharge?
A gravida III para II client is admitted to the labor unit. A vaginal exam reveals that the client's cervix is 8 cm dilated with complete effacement. Transition is the time during labor when the client may lose concentration due to intense contractions. What is the priority nursing diagnosis at this time?
A female adult patient is taking a progestin-only oral contraceptive (the "mini pill"). Progestin use may increase the patient's risk for which of the following?
The termination phase of the therapeutic nurse-client relationship has been handled successfully when the nurse
A client tells the nurse, "When I saw my therapist yesterday, he stroked my breast and suggested that he will give me a pass to leave the hospital if I meet him at his apartment." What action should the nurse take first?
A 6-month-old client is placed on strict bed rest following a hernia repair. Which toy is best suited to this client?
A nurse caring for a patient who is suffering should do which of the following? (Select all that apply.)
A patient is in her last trimester of pregnancy. Nurse Vickie should instruct her to notify her primary health care provider immediately if she notices:
A client with cancer received a platelet transfusion 24 hours ago. Which of the following assessment findings would indicate the most therapeutic effect from the transfusion?
Where do standards of care originate for nurses in clinical practice?
A nurse is assessing a client for HIV. The nurse should identify that which of the following are risk factors associated with this virus? (Select all that apply.)