The nurse is creating a plan of care for a patient with a new diagnosis of hypertension. Which is a potential nursing diagnosis for the patient taking antihypertensive medications?
a. Diarrhea
b. Sexual dysfunction
c. Urge urinary incontinence
d. Impaired memory
ANS: B
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Which of the following interventions would the nurse implement to address the client with feelings of abandonment?
1. Assist client to suppress feelings of abandonment. 2. Encourage client to never get involved in a relationship again. 3. Assist client to express deep rage at the ending of the relationship. 4. Assist client to verbalize feelings of abandonment in an appropriate manner.
A nursing home resident who has type 1 diabetes mellitus is gradually requiring more and more insulin on a PRN basis to treat hyperglycemia
Which of the following should the nurse assess to plan care for improving this individual's glucose metabolism? a. New-onset urinary tract infection b. Trends over time in activity level c. Sudden increase in caloric intake d. Big change in diabetic medication use
A 46-year-old man who has had blood drawn for an insurance screening has a positive Venereal Disease Research Laboratory (VDRL) test. Which action should the nurse take next?
a. Ask the patient about past treatment for syphilis. b. Explain the need for blood and spinal fluid cultures. c. Obtain a specimen for fluorescent treponemal antibody absorption (FAT-Abs) testing. d. Assess for the presence of chancres, flulike symptoms, or a bilateral rash on the trunk.
The nurse in a rural clinic is talking with some clients about biofeedback. The nurse explains to the clients that biofeedback is which of the following?
1. An alternative therapy 2. A state of great mental and physical relaxation in which one is susceptible to suggestion 3. A method used to help individuals learn to control their physiologic responses based on the concept that the mind controls the body 4. A complementary therapy in which one goes into a relaxed state and focuses on positive scenes