The nurse is working with a client who has been admitted to the hospital with a psychotic depression. Which of the following nursing diagnoses is the MOST important for this client at this time?
a. Social Isolation
b. Powerlessness
c. Risk for Injury
d. Self-Care Deficit
C
Because the client has been admitted for depression, the most important diagnosis would be Risk for Injury. Individuals who are depressed pose a possible safety risk to themselves. Some may experience feelings of hopelessness and see suicide as the only option. While issues of social isolation, powerlessness, and self-care deficit are a concern for the depressed client, safety is always the priority. The nurse must protect the client against self-harm.
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A woman is in for a routine prenatal checkup. You are assessing her urine for proteinuria. You know that which findings are considered normal? Choose all that apply
a. Dipstick assessment of trace to +1 b. <300 mg/24 hours c. Dipstick assessment of +2 d. >300 mg/24 hours
The client asks why she will be taking two medications to treat her tuberculosis. The best response by the nurse is:
a. "Clients tend to develop bacterial resistance when only one medication is used." b. "Two medications are more effective against the tuberculosis organism." c. "The client suffers fewer adverse side effects when two drugs are taken." d. "Treatment with two drugs takes half the time."
A stroke is caused by
A) a blockage in the heart muscle. B) neurological problems. C) loss of blood flow to part of the brain. D) inflammation, infection, and edema.
Which of the following disadvantages applies to subcutaneous injections?
A. Only a small amount of drug can be injected. B. It is difficult to achieve a precise control over the dosage. C. The absorption time is faster than that of intravenous injections. D. It is impossible to achieve a steady absorption of the drug into the bloodstream.