What is the priority nursing diagnosis for a client newly diagnosed with autoimmune thrombocytopenic purpura?
A. Impaired Gas Exchange
B. Impaired Skin Integrity
C. Risk for Injury
D. Acute Pain
C
This client has greatly decreased numbers of platelets because of their rapid and excessive de-struction, placing the client at great risk for bleeding. Bleeding occurs with even minor trauma and may occur spontaneously. Pain is not a common manifestation at this stage of the disease.
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A patient with left-sided heart failure complains of increasing shortness of breath and is agitated and coughing up pink-tinged, foamy sputum. The nurse should recognize these as signs and symptoms of:
A) Right-sided heart failure B) Acute pulmonary edema C) Pneumonia D) Cardiogenic shock
The nurse is conducting a health promotion class to adolescents regarding smoking. Which point is most important to convey to this audience?
A) Teens are not strongly influenced by tobacco advertising. B) Smoking causes lung cancer. C) Cost is no deterrent to smoking. D) Alcohol use is strongly associated with smoking.
Severe chest pain is reported by a client during an acute myocardial infarction. Which of the following is the most appropriate drug for the nurse to administer?
A) Isosorbide mononitrate (Isordil) B) Meperidine hydrochloride (Demerol) C) Morphine sulfate (Morphine) D) Nitroglycerin transdermal patch
Which scenarios demonstrate that a nurse is functioning within the scope of psychotherapeutic management? The nurse (select all that apply)
a. structures meaningful unit activities. b. administers electroconvulsive therapy. c. encourages a patient to express feelings. d. interprets the results of psychological testing. e. assesses a patient for medication side effects.