A 58-year-old male patient who is diagnosed with nephrotic syndrome has ascites and 4+ leg edema. Which nursing diagnosis is a priority for the patient?
a. Activity intolerance related to rapidly increased weight
b. Excess fluid volume related to low serum protein levels
c. Disturbed body image related to peripheral edema and ascites
d. Altered nutrition: less than required related to protein restriction
ANS: B
The patient has massive edema, so the priority problem at this time is the excess fluid volume. The other nursing diagnoses are also appropriate, but the focus of nursing care should be resolution of the edema and ascites.
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A PACU nurse is discharging a patient home after having surgery for trigeminal neuralgia. The nurse stresses to the patient not to rub the eye on the side affected by the neuralgia. Why would the nurse do this?
A) There is a perceptual deficit to the affected side of the face. B) The affected eye has no tears. C) There is a sensory deficit to the affected side of the face. D) The affected eye needs a shield.
The public health nurse who aims to change behaviors such as poor hand washing skills and unsafe sex practices is acting in the role of a(n)
a. Case manager b. Advocate c. Educator d. Role model
Ordered: four 1,000 unit vials of Levemir® insulin; inject 25 units subcut daily Calculate the days' supply: ________.
Fill in the blank(s) with the appropriate word(s).
A nursing student is preparing to take the NCLEX-PNÆ and has a hectic schedule that changes frequently. The student works with computers at the hospital. Which review material has the potential to be the most effective for the student?
A) The online review written by seasoned nursing educators using the most recent NCLEX-PNÆ test plan offering self-paced study plans, access to live help 24 hours/day, computerized adaptive testing, full-length study materials, and quizzes B) A local review provided over a week, which is highly recommended by the hospital that the student is employed offering a review book, computerized testing software, and a money back guarantee if the nurse fails the examination C) Free videos online reviewing content for the NCLEX-PNÆ, which may be downloaded into an audio format that the student could listen to while exercising or driving, and a list of Web sites offering free practice questions and rationales D) A review book not cross-referenced to nursing texts from a reputable publisher written by seasoned nursing educators using the most recent NCLEX-PNÆ test plan with a CD containing practice questions in the various question formats and rationales for all answers