Which of the following nursing diagnoses would be incorporated into the plan of care for a client with acute adrenal insufficiency? Select all that apply
1. Fluid-Volume Deficit
2. Hyponatremia
3. Risk for Ineffective Therapeutic Regimen
4. Knowledge Deficit
5. Fluid-Volume Excess
1. Fluid-Volume Deficit
2. Hyponatremia
3. Risk for Ineffective Therapeutic Regimen
4. Knowledge Deficit
Rationale: Fluid-Volume Deficit. Nurses play a key role in managing fluid replacement and fluid intake and output. Hyponatremia. Hyponatremia is in the plan of care for this client because it develops secondary to adrenal insufficiency. Risk for Ineffective Therapeutic Regimen. A plan for client education and family education must be developed, and clients will be at risk for ineffective therapeutic regimen. Knowledge Deficit. Clients will require instruction on lifetime drug therapy and must adhere to the drug schedule. Clients are also advised to learn how to administer intramuscular injections so that they can self-administer hydrocortisone if unable to take medications by mouth due to nausea and vomiting. Fluid-Volume Excess. Clients are dehydrated during this condition; therefore, fluid-volume excess is incorrect.
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The patient asks why the nurse is asking questions about her mother's obstetrical history. Which rationale for this questioning should the nurse provide?
1. "If your mother smoked while she was pregnant with you, your risk of lung cancer is higher.". 2. "Use of medications to prevent miscarriage may have an impact on your health.". 3. "The government wants to know for a genetic study.". 4. "If your mother had bleeding after delivery, you should avoid aspirin if you become pregnant.".
Mrs. Kanda has had a stroke. Her left side is paralyzed. How will you assist her with putting on her blouse?
A. Button the blouse and put it on over her head. B. Put the sleeve of the blouse on the right arm first. C. Put the sleeve of the blouse on her left arm first. D. Put both arms in the sleeves at the same time.
A nurse identifies a fall risk when assessing a patient upon admission. The nurse and the patient agree that the goal is for the patient to remain free from falls. However, the patient fell just before shift change
Which action is the nurse's priority when evaluating the patient? a. Identify factors interfering with goal achievement. b. Counsel the nursing assistive personnel on duty when the patient fell. c. Remove the fall risk sign from the patient's door because the patient has suffered a fall. d. Request that the more experienced charge nurse complete the documentation about the fall.
The best method for providing information regarding patient satisfaction surveys to the staff is
a. emailing results to all employees. b. making an announcement at the next staff meeting. c. providing results from the most current survey. d. providing comparison of current results with previous performance results.