A nurse is evaluating the goal of teaching for the nursing diagnosis of "Knowledge deficit, related to conservation of energy in a patient with multiple sclerosis" (MS). Which statement by the patient indicates a positive outcome?
a. "Now that I am taking steroids, I will be able to work like I used to."
b. "I'm making a list of things that are im-portant and things I will simply have to let go."
c. "I will make a plan to allow for long rest periods at least four times a day."
d. "I am working on balancing time among rest, work, and family time."
D
Balancing time between various activities indicates that the patient with MS understands the need to conserve energy, not just to give up things or attempt to perform at a preillness level.
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The newborn infant has oxygenation problems and a lack of subcutaneous fat. What should the nurse determine as the gestational age of this infant?
a. 20 to 37 completed weeks of pregnancy b. 38 to 41 completed weeks of pregnancy c. 14 to 36 completed weeks of pregnancy d. 42 or more completed weeks of pregnancy
A client who can still make decisions has been diagnosed as having early stage Alzheimer's disease. A low priority goal for the client and family involves
A) deciding on the desired treatment and selecting a healthcare proxy; share the treatment decision with the healthcare proxy. B) beginning cognitive-enhancing medication, such as cholinesterase inhibitors. C) setting up the least restrictive protective physical environment in the home. D) resolving grief over the diagnosis.
An older patient with osteoporosis has a history of falls and dementia. What intervention will best aid in the prevention of injuries?
A. Keeping a nightlight on in the room B. Using furniture as obstacles to keep the patient in the bed C. Using wrist restraints D. Keeping the bed in a low position
The nurse is caring for a patient who is prescribed furosemide (Lasix). Which laboratory result should the nurse review first?
a. Urine sodium b. Serum sodium c. Urine potassium d. Serum potassium