exam question i need ur help

Fig77 · Oct 19, 2009

1b 2a 3c

MattiesMama · Oct 19, 2009

1.) a client wet herself and is ashamed to tell and ask the nurse for help, what would be the best thing to say to the patients?
a.) what happened?, come on lets talk and solve this together
b.) right now im gonna clean you up and get you some new clothes, and then we'll talk
c.) what are you doing? ok, im gonna clean you up

b, because the client is not going to want to talk to you about anything in wet, urine soaked clothes

2.) what is the proper way to lift a heavy object?
a.) maintain correct body alignment and use leg muscles to lift the object
b.) bend to the knee and use large muscle of the body to lift the object
c.) bend to the waist and lift the object

a...the other 2 are examples of how not to lift a heavy object!

3.) if you are ppd positive how would the nurse interpret this?
a.) you have active tb
b.) you have never been exposed to tb
c.) you had tb before and it was contagious and now it is inactive

it really could be a or c, and i don't like the way it's worded...a positive ppd means that you have been exposed to the germ that causes tb at some point and it is still in your body. it is either dormant but can become active at any point, or you have active tb. you would need a chest x-ray to determine whether it is active or not.

thanks for your help guys....

your welcome :)

TomEMT-P2bRN · Nov 1, 2009

Hello I am new to this site. I am a first year nursing student. I am SOOOOOO confused with the NIC and NOC ;( I have to do it on skin integ and the person I am doing it on has a redish butt and nothing more so he would be an at risk person. I am kind of confused as to how I use the books and what to do with the indicatorsin the NOC book and in the NIC book do i just pick what one I want to use and what interventions I want?

I have to get the NANDA, R/T, AEB, and 2 NOCs. Now I understand the at risk for just have the first 2. Do I need to get a NOC for them too?

I am realllly confused. I thought I was a little confused after class but thought once I look it over I will understand it. Well I am JUST more confued.

I am sorry if its an easy question but I am just confused on what to do with all the information I have.

Tom

Daytonite, BSN, RN · Nov 1, 2009

hello i am new to this site. i am a first year nursing student. i am soooooo confused with the nic and noc ;( i have to do it on skin integ and the person i am doing it on has a redish butt and nothing more so he would be an at risk person. i am kind of confused as to how i use the books and what to do with the indicatorsin the noc book and in the nic book do i just pick what one i want to use and what interventions i want?
i have to get the nanda, r/t, aeb, and 2 nocs. now i understand the at risk for just have the first 2. do i need to get a noc for them too?
i am realllly confused. i thought i was a little confused after class but thought once i look it over i will understand it. well i am just more confued.
i am sorry if its an easy question but i am just confused on what to do with all the information i have.
tom

i am kind of confused as to how i use the books and what to do with the indicators in the noc book and in the nic book. do i just pick what one i want to use and what interventions i want?

yes. they should link with your nanda diagnosis. noc and nic reference books have 2 sections: a section of all the nursing diagnoses; a section of all the noc or nic categories. in your noc or nic reference you look up your nursing diagnosis first in the nursing diagnosis section. it will list nocs or nics that they suggest are appropriate links for that nursing diagnosis. next, look up the suggested noc or nic categories and look through the listing of outcomes or interventions to find the outcomes or interventions that you feel will be appropriate for your patient.

i have to get the nanda, r/t, aeb, and 2 nocs. now i understand the at risk for just have the first 2. do i need to get a noc for them too?

yes. every nursing diagnosis that you will have on your care plan will need a noc (outcome).

you are learning to write care plans. each care plan is a determination of a patient's nursing problems. we give each of those nursing problems a name called a nursing diagnosis. part of the care plan is doing something for each of those nursing problems. first, we set goals, or outcomes. these are what we predict we would like to happen as a result of the interventions we will be doing. second, are the actual nursing interventions we will order to be performed in order for those outcomes to happen. noc's (nursing outcomes classification) is merely an extensive list of outcomes that was developed and cross referenced with all the nanda nursing diagnoses to be used as a tool in helping us. you merely need to look up the nursing diagnosis your have chosen and the noc's they recommend that go with it, turn to those noc pages and pick the appropriate individual noc listed under that specific title that will apply to your care plan. it is the same for nic's (nursing interventions classification), extensive lists of nursing interventions that are cross referenced with all the nanda diagnoses. nocs and nics were developed for computerized care planning, so care plans could be written by just clicking and choosing the elements that were needed to construct the care plan from a computer keyboard. you are still following the steps of the nursing process in writing the care plan, however, just using noc and nic reference books instead of having to look up outcomes and interventions in a nursing textbook and figure them out yourself. some care plan books will show noc and noc linkages to the different diagnoses. the nursing diagnoses listed on these websites do that:

the steps of the care plan process are:

assessment (collect data)
formulate nursing diagnoses (your nanda)
write measurable outcomes and interventions (your nocs and nics)
initiate the care plan
determine if outcomes have been met