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Author Question: The nurse admits a patient to the hospital and develops a plan of care. What components should the ... (Read 131 times)

viki

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The nurse admits a patient to the hospital and develops a plan of care. What components should the nurse include in the nursing diagnosis statement?
 
  a. The problem and the suggested patient goals or outcomes
  b. The problem with possible causes and the planned interventions
  c. The problem, its cause, and objective data that support the problem
  d. The problem with an etiology and the signs and symptoms of the problem

Question 2

A nurse is caring for a group of patients on the medical-surgical unit with the help of one float registered nurse (RN), one unlicensed assistive personnel (UAP), and one licensed practical/vocational nurse (LPN/LVN).
 
  Which assignment, if delegated by the nurse, would be inappropriate?
  a. Measurement of a patient's urine output by UAP
  b. Administration of oral medications by LPN/LVN
  c. Check for the presence of bowel sounds and flatulence by UAP
  d. Care of a patient with diabetes by RN who usually works on the pediatric unit



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wfdfwc23

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Answer to Question 1

ANS: D
When writing nursing diagnoses, this format should be used: problem, etiology, and signs and symptoms. The subjective, as well as objective, data should be included in the defining characteristics. Interventions and outcomes are not included in the nursing diagnosis statement.

Answer to Question 2

ANS: C
Assessment requires RN education and scope of practice and cannot be delegated to an LPN/LVN or UAP. The other assignments made by the RN are appropriate.





 

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