Which of the following nursing diagnoses are typically appropriate for an adult survivor of incest? (Select all that apply.)
1. Low self-esteem
2. Powerlessness
3. Disturbed personal identity
4. Knowledge deficit
5. Non-adherence
1, 2
Rationale: An adult survivor of incest would most likely have low self-esteem and a sense of powerlessness. Adult survivors of incest are at risk for developing post-traumatic stress disorder, sexual dysfunction, somatization disorders, compulsive sexual behavior disorders, depression, anxiety, eating disorders, and substance abuse disorders.
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During an assessment the nurse notes that an older patient has a gray discoloration of the skin. Which health problem does the nurse suspect the patient is experiencing?
A) Emphysema B) Lung abscess C) Chronic bronchitis D) Peripheral vascular disease
Prior to suctioning, the nurse delivers breaths with greater tidal volumes than normal. When documenting this procedure, which term will the nurse use?
1. Hyperoxygenating 2. Hyperinflation 3. Hyperventilation 4. Hypoinflation
Is the result of an injury or abnormality of the peripheral nerves and typically causes a burning or stabbing sensation.
A. Neuropathic pain B. Intractable pain C. Phantom pain D. Psychogenic pain
The health care provider is planning to discontinue a client's beta blocker. What instruction should the nurse give the client regarding the beta blocker?
a. The beta blocker should be abruptly stopped when another cardiac drug is prescribed. b. The beta blocker should NOT be abruptly stopped; the dose should be tapered down. c. The beta blocker dose should be maintained while taking another antianginal drug. d. Half the beta blocker dose should be taken for the next several weeks.