A patient is recovering from a minor
automobile accident that occurred 1 week ago. He is taking cyclobenzaprine (Flexeril) for muscular pain and goes to physical therapy three times a week. Which nursing diagnosis would be appropriate for him?
a. Risk for injury related to decreased sensorium
b. Risk for addiction related to psychologic dependency
c. Decreased fluid volume related to potential adverse effects
d. Disturbed sleep pattern related to the drug's interference with REM sleep
ANS: A
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A patient with renal failure reports all of the following during the medical history. Which is most likely to have precipitated the patient's renal failure?
a. Recent computed tomography of the brain with and without contrast b. A recent bout of congestive heart failure after an acute myocardial infarction c. Twice-daily prescription of Lasix 40 mg by mouth d. A recent bout of benign prostatic hypertrophy and transurethral resection of the prostate
A nurse is gathering subjective data when admitting a patient. Which assessment finding reported by the patient is considered subjective data?
a. Complains of chest pain b. Is experiencing dyspnea c. Appears to be anxious d. Expectorates red-tinged sputum
In order to deliver the safest possible care, the nurse needs to understand what? (Select all that apply.)
1. How to perform the procedure correctly 2. Why the procedure is being performed 3. How the procedure will affect the patient 4. The cost of performing the procedure 5. The equipment needed to perform the procedure
The pediatric nurse explains to the parents of an infant diagnosed with a bowel obstruction that one of the most common causes of intestinal obstruction in infancy is from ___________
Fill in the blank(s) with correct word