Learndirect

The nurse removes the dressing on a client's heel that is covering a pressure sore one-inch in diameter and finds that there is straw-colored drainage seeping from the wound. What description of this finding should the nurse include in the client's record? A) Stage 1 pressure sore draining sero-sanguineous drainage. B) Pressure sore at bony prominence with exudate noted. C) One-inch pressure sore draining serous fluid. D) Pressure sore on heel with a small amount of purulent drainage...

A nursing student is learning about Henderson's theory. Which of these statements by the student indicates effective learning? - -"Henderson's theory focuses on assisting an individual." "Henderson's theory defines the role of a nurse in helping a client achieve a peaceful death." "Henderson's theory describes the spiritual domain of an individual." Rationale: A client's self-care needs are best described under Orem's theory for maintaining health and w...

1) The nurse is inserting a nasogastric tube in an adult client. During the procedure, the client begins to cough and has difficulty breathing. What is the most appropriate action? a. Insert the tube quickly. b. Notify the health care provider immediately. c. Remove the tube and reinsert it when the respiratory distress subsides. d. Pull back on the tube and wait until the respiratory distress subsides. - -d Rationale: During the insertion of the nasogastric tube, if the client experiences...

The nurse is teaching a group of nursing students about the application of a nursing diagnosis to nursing practice. Which statement made by a student indicates the need for further teaching? 1 "Nursing diagnosis helps with the identification of patient health problems." 2 "Nursing diagnosis offers an approach to ensure comprehensive nursing assessment." 3 "Research gives backing to nursing diagnoses that are used to identify a patient's health care problem." 4 "Nur...

A client is diagnosed with AIDS. When examining the client's oral cavity, the nurse assesses white patchy plaques on the mucosa. The nurse recognizes that this finding most likely represents what opportunistic infection - -Candida Albicans A nurse identifies that an older adult has not achieved the desired outcome from a prescribed proprietary medication. When assessing the situation, the client shares that the medication is too expensive and the prescription was never filled. What is an...

In an ongoing research study a nurse asks participants, who are breast cancer survivors, to briefly share information about their lives after surviving cancer. The nurse then compiles the views to determine the cancer survivors' quality of life. Which type of study is being conducted? 1. historical research 2. descriptive research 3. qualitative research 4. correlational research - -3. qualitative research Qualitative research involves inductive reasoning to develop an overview from s...

Home health care, Rehab facilities, Skilled nursing facilities - -A nurse is discussing restorative health care w/newly-licensed nurse. Which of the following examples should the nurse include in the teaching? Medicare, Medicaid - -A nurse is explaining the various types of health coverage clients might have to a group of nursing students. Which of the following health care financing mechanisms are federally funded? Collaborating w/providers to perform obesity screening during routine offi...

What are the key structures examined during a fundoscopic exam?: The optic disc, retina, macula, and retinal blood vessels are assessed for abnormalities such as papilledema, hemorrhages, exudates, or signs of hypertensive or diabetic retinopathy. 2. What does a "cup-to-disc ratio" of more than 0.6 indicate?: A cup-to-disc ratio >0.6 is suggestive of glaucoma, indicating possible optic nerve damage due to increased intraocular pressure. 3. What fundoscopic findings are associated...

. Critical path Integrated care pathway Collaborative care pathway Multidisciplinary care pathway Critical path, integrated care pathway, collaborative care pathway, and mul- tidisciplinary care pathway are all terms that are synonymous with critical pathways that the nurse educator can include when presenting information regarding the role of case manager. Plan of care is not synonymous with critical pathways.: Which terms, synonymous with critical pathways, will the nurse educator inc...

The task is within the nurse's scope of practice. The task may be performed with a predictable outcome. Agency policies and protocols are available for the task or activity. The task is performed according to an established sequence of steps. NAP have the appropriate knowledge, skills, and abilities required to complete the task. According to the NCSBN Decision Tree, for a task to be delegated it must be within the nurse's scope of practice and have a predictable outcome. Agency po...