Nursing Process Quizzes Online & Trivia

You can see the signs in a patient (either by eye or with medical quipment or labs) polyuria, polydipsia and polyphagia are signs of diabetes. A symptom is subjective evidence of disease; it is a feeling people other than the patient cannot see/feel it. A headache is a symptom. Chest pain could be a symptom of an MI

The correct answer to this question is C. Maslow's hierarchy of needs is theory that was proposed by Abraham Maslow in 1943. Maslow's hierarchy of needs are studied in psychology to determine the order in which humans need certain things. The needs from bottom to top are physiological, safety, love and belonging, esteem, and self-actualization. The needs at the bottom should be fulfilled first. Pain relief is in the first tier of physiological. The patient should be administered pain medication in order to fulfill the first need on Maslow's hierarchy of needs. Placing wrist restraints would be the next tier, safety.

1. keeping the bed in the lowest possible position.-rationale: keeping the bed at the lowest possible position is the first priority for clients at risk for falling. keeping the call light easily accessible is important but isnt a top priority. instructing the client not to get out of bed may not effectively prevent falls for example, if the client is confused. even when the client needs assistance to get out of bed, the nurse should place the bed in the lowest position. the client may not require a bedpan. client needs category: safe, effective care environment client needs subcategory: safety and infection control cognitive level: application reference: craven, r.f., and hirnle, c.j. fundamentals of nursing: human health and function, 5th ed. philadelphia: lippincott williams & wilkins, 2007, p. 688.

1. explain that under health insurance portability and accountability act (hipaa) regulations, she can\ t disclose this information without the client\ s permission.-rationale: hipaa prevents family members or friends from acquiring health information without consent of the client involved. whether the test was performed on the nursing unit or others had given the clients daughter this information is irrelevant; the clients test results are still protected health information. the nurse shouldnt ask the clients daughter if she has permission because doing so assumes the daughter is telling the truth. client needs category: safe, effective care environment client needs subcategory: management of care cognitive level: application reference: craven, r.f., and hirnle, c.j. fundamentals of nursing: human health and function, 5th ed. philadelphia: lippincott williams & wilkins, 2007, p. 256.

Arterial blood gas test measures how much gases are in the blood. These gases consist of carbon dioxide and oxygen. To determine how much carbon dioxide and oxygen are in the bloodstream, a nurse would have to draw some blood from the patient in the radial artery. Blood is sometimes taken from the femoral artery. This is located in the groin. The ranges for pH is 7.34 – 7.44. That would be average. If a person has a pH less than 7.34, the person’s blood is academic. If a person has a pH more than 7.45, then his or her blood is alkalemic. If a client has arterial blood gas values with a pH of 7.30, and PaO2 of 89 mm, then the client would have respiratory acidosis.

1. ineffective peripheral tissue perfusion related to venous congestion-rationale: ineffective peripheral tissue perfusion related to venous congestion takes highest priority because venous inflammation and clot formation impede blood flow in a client with dvt. impaired gas exchange related to increased blood flow is incorrect because impaired gas exchange is related to decreased, not increased, blood flow. excess fluid volume related to peripheral vascular disease is inappropriate because theres no evidence that this client has an excess fluid volume. risk for injury related to edema may be warranted but is secondary to ineffective tissue perfusion. client needs category: physiological integrity client needs subcategory: reduction of risk potential cognitive level: application reference: smeltzer, s.c., and bare, b. brunner & suddarths textbook of medical surgical-nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 1007.

1. slow the i.v. infusion.-rationale: because this client has fluid overload, the nurse should first slow the infusion to prevent additional fluid overload, then notify the physician and obtain further orders. notifying the physician without slowing the infusion would put the client at risk for pulmonary complications or respiratory failure. discontinuing the catheter is inappropriate because the nurse may still need vascular access to administer i.v. fluids (at a decreased rate) or additional i.v. medications. administering a diuretic without changing the i.v. infusion rate wouldnt prevent fluid overload from recurring. client needs category: physiological integrity client needs subcategory: reduction of risk potential cognitive level: analysis reference: craven, r.f., and hirnle, c.j. fundamentals of nursing: human health and function, 5th ed. philadelphia: lippincott williams & wilkins, 2007, p. 626.

There are many different types of pain that someone may feel. However, many people feel pain in the stomach area. If this occurs, the nurse will not definitely know what the problem is. Just because a client describes the symptoms does not mean that the nurse will instantly know what the problem is and how to treat it. Instead, she may need to ask some more questions. There are all sorts of problems and ailments that could occur and a symptom be stomach issues. Cancer is a severe ailment that could cause stomach pain, but so could a bruise in the inside of the stomach. One may not be so serious. The nurse would need for the patient to describe the pain.

1. Organizational framework for the practice of Nursing 2. Systematic method by which nurses plan and provide care for patients3. The Nursing Scope and Standards of Practice of the ANA outlines the steps of the nursing processPage 121

Whenever someone feels bad, the doctor may ask them about their symptoms. The symptoms are the things that make the person feel bad. If the person has the flu, the person’s symptoms may include fever, chills, headache, and coughing, to name a few. There are other symptoms regarding the flu. When the patient tells the doctor about their symptoms, this helps the doctor figure out what is wrong with the patient. Sometimes a doctor can figure it out instead of doing blood work. However, some blood work may need to be done in order to make for certain the patient’s ailment. Then the doctor can prescribe the correct medication for the patient. Some medications only relieve certain symptoms and therefore the patient should read the label.

There are different characteristics that you can expect from someone who has ineffective tissue perfusion. This means that the tissue is not getting enough oxygen. There are some people who develop this condition in a chronic manner. Some of the most common characteristics are E. Skin Discoloration. Some would also experience F. Some parts of the skin will be in a different temperature compared to the rest of the body. There are various things that the person will feel while experiencing this condition. Some would also lose sensations in various parts of their body especially the affected skin areas. Most patients will be required to make some lifestyle changes in order to avoid suffering from this condition again.

1. deficient fluid volume-rationale: because the client has gastroenteritis and is probably dehydrated, deficient fluid volume takes highest priority. a sensory deficit such as blindness puts the client at risk for injury from the environment; however, a potential problem doesnt take highest priority. although activity intolerance or impaired physical mobility also may be relevant, these nursing diagnoses dont take precedence over the clients dehydration. client needs category: physiological integrity client needs subcategory: reduction of risk potential cognitive level: application reference: smeltzer, s.c., and bare, b. brunner & suddarths textbook of medical surgical-nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 1516.