Which nursing diagnosis is almost universally applicable to persons with depression?
a. Ineffective denial
b. Disturbed body image
c. Chronic low self-esteem
d. Risk for other-directed violence
C
The overall affective sense of the depressed person is one of low self-esteem. Guilt often accompanies the low self-esteem. Data about depressed individuals do not suggest the applicability of body image disturbance. Denial and risk for violence may or may not be present.
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A nurse is caring for a client receiving fosfomycin for the treatment of an acute bacterial UTI. Which of the following interventions should the nurse include in the teaching plan for the client about this drug?
A) Ensure that the drug is administered every 3 hours. B) Administer the drug after dissolving it in 90 to 120 mL of hot water. C) Ensure that the drug is administered immediately after mixing with water. D) Administer the drug on an empty stomach.
A client has just been diagnosed with a cerebral aneurysm. In planning discharge teaching for this client, what instructions should be delivered by the nurse to the client?
A) Avoid heavy lifting. B) Avoid fiber in the diet. C) Take an antacid frequently. D) Take an herbal form of feverfew.
An acutely ill patient has had a pulmonary artery catheter (PAC) placed and the critical care nurse is closely monitoring the data that the PAC provides
When documenting the patient's mean arterial pressure, the nurse understands that this value represents: A) The midpoint between the patient's systolic arterial blood pressure and diastolic arterial blood pressure B) The average arterial blood pressure throughout the patient's cardiac cycle C) The difference between the patient's systolic arterial blood pressure and diastolic arterial blood pressure D) The standard deviation of the patient's arterial blood pressure over a given time period
Which laboratory value alerts the nurse that a patient is in stage 3 of chronic kidney disease (CKD)?
A) GFR > 90 mL/min/1.73m2 B) GFR 60-89 mL/min/1.73m2 C) GFR 30-59 mL/min/1.73m2 D) GFR 15-29 mL/min/1.73m2