The nurse is caring for a client who has been admitted with persistent diarrhea lasting 3 days. Which are appropriate nursing diagnoses for this client during the acute phase of the illness?
Select all that apply.
A) Decreased Cardiac Output
B) Ineffective Airway Clearance
C) Deficient Fluid Volume
D) Knowledge Deficit
E) Risk for Injury
Answer: A, E
Metabolic acidosis affects cardiac output by decreasing contractility, slowing the heart rate, and increasing the risk for dysrhythmias. Appropriate nursing diagnoses during the acute phase of illness are Risk for Injury and Decreased Cardiac Output. The client may have a knowledge deficit but this is not an appropriate nursing diagnosis during the acute phase of the illness. The client with metabolic acidosis will be at risk for developing an Excessive Fluid Volume, not a Deficient Fluid Volume. The client with metabolic acidosis is not at risk for Ineffective Airway Clearance.
You might also like to view...
The nurse is reviewing the plan of care for a client and notes that the following goal has not been met: "Client will verbalize three positive things about himself." Which action by the nurse is the most appropriate?
1. Tell the client three things that he does well. 2. Ask other clients to tell the client what he does well. 3. Determine barriers to achieving the goal. 4. Do nothing as long as the client appears better.
The nurse is caring for 8-year-old girl with an endocrine disorder involving the posterior pituitary gland. Which of the following nursing interventions would be expected?
A) Instructing the parents to report adverse reactions to the growth hormone treatment B) Teaching the parents how to administer the desmopressin acetate C) Informing the parents that treatment stops when puberty begins D) Educating the parents to report signs of acute adrenal crisis
When staff members complain about being pulled to other areas to work without prior notice, the leader agrees with their request to develop a more effective system and does so with assistance and input from the entire staff
Which leadership theory does this exemplify? a. X b. Y c. Z d. T
Directly observing subjects in their natural settings is often referred to as:
A. field work. B. participant observation. C. field notes. D. event analysis.