A client admitted with a cardiac dysrhythmia tells the nurse that he tires easily and is frustrated since he has not been able to do his normal daily activities. The nursing diagnosis to address this client's issue would be:

1. Activity Intolerance.
2. Excess Fluid Volume.
3. Depression.
4. Situational Low Self-Esteem.


1. Activity Intolerance.

Rationale:
The client is experiencing fatigue and frustration with the inability to perform normal daily activities because of the fatigue. The nursing diagnosis to address this client's issue would be activity intolerance. There is no evidence that the client is experiencing excess fluid volume. The client may or may not be experiencing depression. The client may develop situational low self-esteem if the diagnosis of activity intolerance is not addressed.

Nursing

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The nurse explains to a patient who has had a knee replacement that warfarin (Coumadin) is ordered to:

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A patient who is 2 months pregnant is concerned about frequent urination. What should the nurse instruct the patient about this occurrence?

A) This means urine is more concentrated. B) The fetus is adding urine to the patient's bladder. C) It is caused by pressure on the bladder from the uterus. D) There is a decrease in the glomerular cells of the kidney.

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In addition to strict monitoring of intake and output, nursing interventions for the hospitalized client with acute glomerulonephritis would include which of the following?

a. Monitor intake of carbohydrates. b. Incorporate a turning schedule that includes range-of-motion exercises. c. Allow fluids to be consumed only with meals. d. Encourage family and friends to visit whenever possible.

Nursing

Which of the following would be a newborn care procedure that will decrease the probability of high bilirubin levels?

1. Monitor urine for amount and characteristics. 2. Encourage late feedings to promote intestinal elimination. 3. All infants should be routinely monitored for iron intake. 4. Maintain the newborn's skin temperature at 36.5°C (97.8°F) or above.

Nursing