A client appears sad and speaks slowly and haltingly. She tells the nurse of the death of her husband
of 50 years and the death of her daughter in a recent automobile accident.
The client has no other
family but has a circle of close friends who offer support. What nursing diagnosis should be
considered for this client?
a. Spiritual distress related to being angry with God for taking her family
b. Anxiety related to sudden and abrupt lifestyle change
c. Social isolation related to loss of existing family
d. No nursing diagnosis listed is warranted at this time
D
The client is experiencing normal grief related to the loss of her family. No defining characteristics
exist for the diagnoses listed in options A, B, and C, and no defining characteristics exist for the
diagnosis of dysfunctional grieving.
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The nurse is planning care for a client admitted for surgery with the primary nursing diagnosis being knowledge deficit related to pre- and postoperative care. Which goal statement is the most appropriate for this diagnosis?
1. The client will be knowledgeable about the surgery being performed. 2. The client will be given the postoperative plan of care prior to surgery. 3. The client will be afebrile during the intraoperative and postoperative period. 4. The client will verbalize the purpose of preoperative medications prior to surgery.
People with alcoholism often are undernourished and have deficiencies of B vitamins
Indicate whether the statement is true or false
The nurse caring for a client who is a smoker, was diagnosed with scleroderma, and has been experiencing esophageal irritation and heartburn includes the following interventions into the client's plan of care: Select all that apply
1. Elevate head of the bed to 30 degrees. 2. Reapply nicotine patch as prescribed. 3. Provide decaffeinated beverages only. 4. Administer omeprazole (Prilosec) as prescribed. 5. Provide six small meals daily.
If a child follows a normal development process, at which age will a child's kidneys reach their full size and function?
A) 5 years of age B) 8 years of age C) 13 years of age D) 17 years of age