A client routinely complains of dizziness for a few hours after taking a prescribed medication to control blood pressure. Which of the following nursing diagnoses would you write in the client's care plan?
1. Risk for infection
2. Risk for injury
3. Disturbed sleep pattern
4. Disturbed sensory perception
ANS: 2
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Group decision making used in health care settings can have both positives and negatives associated with it. Some known negatives or disadvantages are listed below. Which is not one of these known negatives to group decision making?
a. can bring in too many opinions c. can lead to conflict b. can be costly d. can become a power struggle
One bed is available for admitting a client with an eating disorder. Of the following clients, who
should be admitted? The client whose weight dropped from a. 150 to 100 pounds over a 4-months period, with the following vital signs: temperature, 35.9° C; pulse, 38 beats/min; blood pressure, 60/40 mm Hg. b. 120 to 90 pounds over a 3-month period, with the following vital signs: temperature, 36° C; pulse, 50 beats/min; blood pressure, 70/50 mm Hg. c. 110 to 70 pounds over a 4-month period, with the following vital signs: temperature 36.5° C; pulse, 60 beats/min; blood pressure, 80/66 mm Hg. d. 90 to 78 pounds over a 5-month period, with the following vital signs: temperature, 36.7° C; pulse, 62 beats/min; blood pressure, 74/48 mm Hg.
The nurse working in a predominately Hispanic community outlines a breast health screening. The nurse is aware that:
1. Breast cancer is the leading cause of cancer death in Hispanic women. 2. This cultural group is strict about performing monthly self breast exams. 3. Hispanic women have a higher incidence of breast cancer after age 40. 4. Hispanic women have an open attitude about private issues.
The mother of a teen with an eating disorder expresses a concern that the family is re-sponsible for the problem. Which question will best help the nurse identify another influ-ence that is likely to have played a role in the teenager's eating disorder?
a. "Does she have an after-school job?" b. "Does she have access to nutritious foods?" c. "Is there a family history of underweight adults?" d. "Is your daughter interested in clothes and fashion?"