The most appropriate expected patient outcome for the nursing diagnosis of deficient knowledge about post-MI self-care would be:
A) Relief of angina
B) Less anxiety
C) Maintenance of adequate tissue perfusion
D) Adherence to self-care program
Ans: D
Feedback: When a patient adheres to and participates in a self-care program in cardiac rehabilitation, it indicates that the patient has overcome the nursing diagnosis of knowledge deficit about post-MI self-care.
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The results of a patient's most recent blood work and physical assessment are suggestive of immune thrombocytopenic purpura (ITP). This patient should undergo testing for which of the following potential causes? Select all that apply
A) Hepatitis B) Acute renal failure C) HIV D) Malignant melanoma E) Cholecystitis
The nurse is assessing a dog bite on a child's forearm and notes that the epidermis, dermis, and subcutaneous tissues have been damaged and the wound is bleeding profusely. The nurse classifies the severity of the bite as:
A) mild. B) moderate. C) severe. D) life-threatening.
Which is true of verbal and nonverbal communication?
a. Verbal messages are more important than nonverbal cues. b. Individuals can exercise more control over nonverbal communication. c. Verbal and nonverbal communication always match. d. The nonverbal communication may be a more reliable message.
The patient has epilepsy and receives phenytoin (Dilantin). The patient has been seizure-free, and asks the nurse why he still needs blood tests when he is not having seizures. What is the best response by the nurse?
1. "Because phenytoin (Dilantin) has a very narrow range between a therapeutic dose and a toxic dose." 2. "Because phenytoin (Dilantin) can cause blood-thinning in some patients." 3. "Because phenytoin (Dilantin) can cause Stevens-Johnson syndrome, which will show up in the blood tests." 4. "Because phenytoin (Dilantin) can deplete your system of potassium."