A newly admitted client has been diagnosed with major depressive disorder. Which nursing diagnosis takes priority?
A.
Impaired social interaction
B.
Self-esteem deficit
C.
Hopelessness
D.
Self-care deficit
ANS: C
While all of these diagnoses are important, the presence of hopelessness may be a sign of suicidal ideation and would take priority.
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A 79-year-old woman has been diagnosed with osteoporosis, and the nurse is reviewing the risks and benefits of Fosamax, which her care provider has prescribed
The patient should be instructed to seek prompt medical attention if she develops which of the following? A) Esophageal bleeding B) Fever C) Sudden fatigue D) Musculoskeletal pain
Which nursing intervention should the nurse use to determine that the IV fluid is infusing into the vein properly?
1. Open roller clamp and watch fluid infuse for 5 minutes. 2. Lower IV bag to the floor and observe for blood return. 3. Disconnect IV tubing at the hub and watch for blood leakage. 4. Observe if infusion ceases when the vein is gently compressed.
Discharge planning for the client prescribed tetracycline will include which of the following?
1. Take the medication with antacids. 2. Take the medication with iron supplements. 3. Do not take the medication with milk. 4. Decrease the amount of vitamins.
The outside front and sleeves of the (used) isolation gown are considered clean.
Answer the following statement true (T) or false (F)