The nurse is writing a plan of care for a patient who is taking a diuretic. What would be an appropriate nursing diagnosis for this patient?
A) Impaired urinary elimination
B) Monitor the patient response to the drug
C) Imbalanced nutrition: More than body requirements
D) Risk for fluid volume overload
A
Feedback:
Nursing diagnoses related to drug therapy may include impaired urinary elimination related to drug effect. Options B, C, and D would not be appropriate nursing diagnoses.
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A 68-year-old female patient who was diagnosed with hypertension 2 weeks ago and was prescribed a new hypertension medication has returned to the clinic for a follow-up visit
The nurse notes that the patient's blood pressure is unchanged from her last clinic visit. When the patient was asked if she was taking the new medication on a regular basis, she stated, "I thought that I was supposed to take the new drug when I had a pounding headache or was in a stressful situation, not all the time." An appropriate nursing diagnosis for this patient would be which of the following? A) Knowledge, deficient due to the lack of understanding of treatment regimen B) Coping, ineffective due to forgetfulness C) Confusion, acute concerning drug administration D) Anxiety due to diagnosis of hypertension
The nurse can evaluate a positive bladder emptying if the post void catheterization is less than:
1. 125 mL. 2. 100 mL. 3. 75 mL. 4. 50 mL.
The nurse is caring for a patient diagnosed with amyotrophic lateral sclerosis. The nurse should assess for which priority problem?
a. Fatigue b. Bradypnea c. Hypertension d. Fall risk
The spouse of a patient with Alzheimer disease (AD) asks what sundowning means. How should the nurse respond to this question?
A. "Repetition of words or phrases occurs more frequently." B. "The eyes will appear more downcast and the lids will droop." C. "The ability to perform simple tasks is lost." D. "It causes agitation, disorientation to time, and wandering during the afternoon or early evening."