A menopausal client asks many questions about treatment for her vaginal dryness and hot flashes. She states, "I've heard so much information and seen so many different things on television, I just don't know what would be best

" When developing this client's plan of care, the nurse would identify which nursing diagnosis as the priority?
A) Decisional Conflict related to myriad of treatment options
B) Ineffective Sexuality Patterns related to pain on intercourse
C) Situational Low Self-Esteem related to changes in sexual expression
D) Anxiety related to effects of menopausal changes


A

Nursing

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A woman with a history of previous abruptio placentae with fetal demise is being seen in the perinatal clinic. She is now pregnant again in her early second trimester

She tells the nurse she is a Jehovah's Witness and she wants her chart to reflect her refusal to accept blood products if she hemorrhages again. Which action by the nurse is best? A. Ask the woman to consider an exception in order to save her baby's life if needed. B. Document the information on the chart and inform the health-care provider. C. Encourage the woman and provider to discuss appropriate delivery sites. D. Tell the woman a court can order the transfusion to save the baby.

Nursing

A 14-year-old female has been experiencing severe internal cramps in the region of the pelvis and weight loss.She has been admitted with rectal bleeding

The physician has diagnosed her with inflammatory bowel disease (IBD). She asks the nurse what causes this disease. The nurse will base her response knowing that IBD has been linked to A) liver involvement in faulty glycogen stores. B) endoplasmic reticulum stress in the gastrointestinal system. C) oversecretion of insulin from the beta cells in the pancreas. D) infiltration of the gastrointestinal tract by bacterial toxins.

Nursing

An older patient is demonstrating delirium since being admitted from a nursing home for treatment of a wound infection. What should the nurse identify as a cause for the patient's delirium?

1. High television volume 2. Intravenous fluid therapy 3. Windowless hospital room 4. Assessments every 4 hours

Nursing

When providing support and education to the family of a child who is diagnosed with a serious genetic abnormality, which of the following would be the highest priority?

A) Assisting with scheduling follow-up visits B) Establishing a trusting relationship C) Teaching the family what to expect D) Using measures to promote growth and development

Nursing