A client in an alcohol rehabilitation program tells the nurse, "I've been such a loser all my life! I feel so ashamed for what I have put my family through! Now I am in rehab and I am not sure I can stay sober
" What nursing diagnosis would be most appropriate? 1. Self-Esteem Disturbance
2. High Risk for Violence
3. Powerlessness
4. Alteration in Health Maintenance
1
Rationale: Self-Esteem Disturbance is indicated when the client views the self as inadequate. Powerlessness would refer to the client's inability to control alcohol use. Alterations in Health Maintenance would refer to a client's inability to adhere to a treatment regimen. High Risk for Violence would refer to a client who is aggressive and a danger to self or others.
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a. It leads to markedly altered vital signs. b. It is usually described as a burning pain. c. It is generally gone within 4 months. d. It can bring about changes in lifestyle.
Safe dosage range: Esmolol 50 to 300 mcg/kg/min Available: Esmolol 5 g in 500 mL D5LR The IV flow rates for the lowest and highest dosages for a client who weighs 110 lb are _____ and _____
a. 150 and 900 mg/hr b. 60 and 100 mg/hr c. 15 and 90 mL/hr d. 30 and 120 mL/hr
Which option best reflects how nurses provide education to other nurses?
1. Informally on the unit 2. Formally in the classroom 3. Formally online 4. Both formally and informally
Which intervention(s) is (are) critical during intravenous lipid administration? (Select all that apply)
a. Assess glucose levels. b. Change the tubing every 24 hours. c. Hold lipids when administering antibiotics through the same line. d. Monitor triglyceride levels.