Your patient has a diagnosis of rheumatoid arthritis. While making the patient's plan of care, which nursing diagnosis would be most applicable to this patient?
A) Self-care deficit related to fatigue and joint stiffness
B) Ineffective airway clearance related to chronic pain
C) Risk for depression related to body image disturbance
D) Urinary retention related to chronic pain
Ans: A
Feedback: Nursing diagnoses are actual or potential problems that can be managed by independent nursing actions. All of the other answers are possibly correct; the self-care deficit would be most applicable.
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Choose the situation in which humor might be an effective method to communicate with an upset or angry person
1. A mother bringing her daughter to the emergency department is upset about the wait time to be seen. 2. A nurse angrily calls the lab complaining that the client?s morning labs have not been drawn. 3. A pharmacist complains about discrepancies on the narcotic record for the third week in a row. 4. The mother of a child with a white count of 3000 cells/mcL is upset when a nurse enters with no mask.
A first-time dad is concerned that his 3-day-old daughter's skin looks "yellow." In the nurse's explanation of physiologic jaundice, what fact should be included?
a. Physiologic jaundice occurs during the first 24 hours of life. b. Physiologic jaundice is caused by blood incompatibilities between the mother and infant blood types. c. The bilirubin levels of physiologic jaundice peak between the second and fourth days of life. d. This condition is also known as "breast milk jaundice."
The nurse is assessing a client who had percutaneous transluminal coronary angioplasty (PTCA) 1 hour ago. Which complication does the nurse monitor for?
a. Hypertensive crisis b. Hyperkalemia c. Infection d. Bleeding
A patient is prescribed amoxicillin and tetracycline to treat peptic ulcer disease. The nurse will instruct the patient that these medications will do what?
A. Prevent GI infections that cause gastric bleeding. B. Destroy the bacteria in the stomach that are causing ulceration. C. Reduce gastric acid production and alkalize the stomach fluids. D. Reduce the secretion of pepsin in the stomach.