Elsevier Evolve / NCSBN Clinical Judgment
Measurement Model – Comprehensive Adult Health
Nursing Competency Assessment||Graded A+!!
Pleurodesis - ANSWER-A procedure aimed at preventing
the formation of a pleural effusion by causing the pleural
spaces to seal together.
Radiation therapy consequences - ANSWER-Chronic
esophagitis with gastroesophageal reflux is a potential
consequence of radiation therapy for breast cancer.
,Pathologic fracture - ANSWER-Fractures that occur
without evidence of trauma, often due to loss of bone
density from radiation damage.
Sexual activity after myocardial infarction - ANSWER-
Sexual intercourse after an MI requires no more energy
expenditure or cardiac stress than walking briskly up two
flights of stairs.
Percutaneous endoscopic gastrostomy (PEG) tube -
ANSWER-A type of feeding tube that differs from a
gastrostomy tube primarily in the method of insertion.
,PEG tube - ANSWER-A tube inserted endoscopically
through the esophagus into the stomach, held in place by
a bumper and a water-filled balloon.
GT - ANSWER-A tube inserted through an incision in the
abdomen and sutured to the gastric wall.
Proctosigmoidoscopy preparation - ANSWER-Includes
obtaining consent, a clear-liquid diet for 24 to 48 hours
prior, administration of an enema, and fasting on the
morning of the procedure.
, Dysuria in diabetes - ANSWER-Elevated fingerstick
glucose levels (e.g., 300 mg/dl) need to be reported to
adjust the care plan.
Right renal calculi nursing diagnosis priority - ANSWER-
Acute pain related to movement of the stone.
Chemotherapy initiation - ANSWER-Starting
chemotherapy early increases the chance of eradicating
cancer cells, as 50% of tumor cells are killed with each
dose.
Asterixis - ANSWER-A clinical sign of liver disease
characterized by a flapping tremor of the hands.