1. Determine which example is true of measurability within the context of the nursing diagnosis.
a.The patient will list signs of infection such as redness, pain, swelling, and warmth by the end of the shift.
b.The patient will be pain-free and then walk to the bathroom.
c.The patient reported abdominal pain for 2 days but denies nausea, vomiting, anddiarrhea.
d.The patient received Dilaudid 1 mg IV and 2 hours later received Lortab 500/5.

2.The nurse is admitting a 64-year-old Hispanic male patient to the rehabilitation facility following surgical intervention for a broken hip. The nurse should first assess which of the following?
a.Self-care ability
b.Self-esteem
c.Communication
d.Pain

3.The nurse is attempting to take the history of a newly admitted 92-year-old patient but is unable to obtain the information because of the patient‘s cognitive status. The nurse should
a.refuse to complete the admission without more information.
b.contact the family for information on the patient‘s history.
c.call the doctor in the emergency room for a history.
d.ask another nurse to try to obtain the information from the patient.