What nursing diagnosis would be a priority for a client who has a large wound from colon surgery, is obese, and is taking corticosteroid medications?
A) Self-care Deficit
B) Risk for Imbalanced Nutrition
C) Anxiety
D) Risk for Infection
Ans: D
Clients who are taking corticosteroid medications are at high risk for delayed healing and wound complications such as infections, because corticosteroids decrease the inflammatory process that may in turn delay healing.
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A prescribed medication is not producing the expected therapeutic effect in an older patient. What should the nurse do first in response to this finding?
1. Document that the patient has not been taking the medication. 2. Discuss changing the medication with the healthcare provider. 3. Ask if the patient has enough money to buy food and medicine. 4. Review the patient's current diet to determine food-drug interactions.
The LPN finds a young man tearfully staring out the window. He says, "I've been in this hospital 23 days out of the last 50. I've lost a lot of pay." To encourage further communica-tion, the nurse's best response would be:
1. "You've lost a lot of work?" 2. "Would you like me to arrange an appointment for you to speak with the social worker?" 3. "How much pay have you lost?" 4. "You are to be discharged at the end of the week and you can return to work."
A patient whose heart monitor shows sinus tachycardia, rate 132, is apneic and has no palpable pulses. What is the first action that the nurse should take?
a. Perform synchronized cardioversion. b. Start cardiopulmonary resuscitation (CPR). c. Administer atropine per agency dysrhythmia protocol. d. Provide supplemental oxygen via non-rebreather mask.
Define the term macrominerals.
What will be an ideal response?