The nurse wore gloves for Mr. Gary's care every time. This is an example of?

Correct Answer: A

Rationale: Wearing gloves every time is standard precautions (A) routine safety, per definition. Control (B) prevents, literacy (C) understanding, coordination (D) organization not routine-specific. A fits the nurse's consistent protection for Mr. Gary, making it correct.

Correct Answer: D

Rationale: Nursing diagnoses, per NANDA International, categorize patient conditions into specific types. 'Actual' diagnoses reflect current problems, like 'Acute Pain.' 'Risk' diagnoses indicate potential issues, such as 'Risk for Infection.' 'Possible' diagnoses suggest conditions needing more data, like 'Possible Anxiety.' 'Syndrome' and 'Wellness' are also recognized categories. 'Factual' isn't a standard term in this context; it's too vague and doesn't fit the diagnostic framework. These categories help nurses systematically identify and address health issues, ensuring care plans are precise and tailored. Excluding 'Factual' maintains the specificity required for effective nursing interventions.

Correct Answer: D

Rationale: Serum albumin maintains oncotic pressure, pulling fluid into blood vessels to prevent edema in conditions like hypoalbuminemia (e.g., liver failure). It doesn't directly affect clotting (fibrinogen's role), white blood cell formation (bone marrow), or red blood cell production (erythropoietin). Nurses administer it to correct fluid shifts, monitoring for overload, ensuring vascular stability critical for tissue perfusion and oxygenation.

Correct Answer: A

Rationale: Albumin treats ascites by raising oncotic pressure, pulling fluid from tissues into vessels. Slow infusion prevents overload, and fluid restriction avoids diluting the effect, maximizing fluid shift from the abdomen. Rapid infusion risks pulmonary edema, and liberal fluids counteract albumin's purpose. Nurses monitor volume status, optimizing therapy to relieve ascites without cardiovascular strain.

Correct Answer: B

Rationale: Formulating a nursing diagnosis involves the nurse and patient collaborating to identify health problems based on assessment data. The nurse collects subjective input (e.g., patient-reported symptoms) and objective findings (e.g., vital signs), then analyzes them with the patient's perspective to define needs and goals. This partnership ensures patient-centered care, reflecting the patient's experiences and priorities. Relatives may offer insights, but the primary focus is the patient's direct input, not family consensus. Doctors diagnose medical conditions, not nursing diagnoses, which address human responses to health issues distinct from medical roles. Nurse-doctor collaboration informs broader care, but nursing diagnosis formulation centers on nursing scope, not physician directive. The nurse-patient dynamic leverages the nurse's expertise and the patient's lived experience, making it the essential joint function for accurate, tailored nursing diagnoses.