What is the priority nursing diagnosis for a client with overhydration?
A. Decreased Cardiac Output
B. Risk for Impaired Ventilation
C. Risk for Impaired Skin Integrity
D. Deficient Knowledge
B
With overhydration, the vascular compartment (plasma volume) expands and increases the hy-drostatic pressure. This increased pressure can cause formation of edema, including pulmonary edema. The presence of pulmonary edema impairs ventilation.
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When performing a cleansing on a client postoperative left hip replacement, the nurse properly positions the client:
1. Lying on the right side with legs abducted. 2. Lying on the left side with legs abducted. 3. Lying on the back with legs abducted. 4. Sitting on a bedside commode or toilet with legs abducted.
Most endocrine disorders are not diagnosed until patients are acutely ill with a second condition. What are some common precipitating illnesses these patients may have?
A) Severe illness/stress activating the HPA axis B) High glucose levels from gluconeogenesis C) Low cortisol levels from depleting the flight or fight response D) Decreased basal metabolic rate from prolonged hyperthermia
In which situations would the manufacturer of a drug designated as unavoidably unsafe be held liable for injuries to a patient receiving the drug?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The physician did not educate the patient about the risks of the medication. 2. The physician prescribed the medication after being told that problems with the drug had been corrected. 3. The nurse was not warned of risks by the pharmacist. 4. The nurse did not educate the patient about the risks of the drug. 5. The information printed in the drug information sheet accompanying the medication was wrong.
Which term is used to describe a cell showing a loss of cellular differentiation?
a. Dysplasia b. Hyperplasia c. Metaplasia d. Anaplasia