The nurse overhears a client tell her spouse that she realizes that she did not finish what she needed to do at home and she is sorry to put so much on him to do

In addition to this client's reason for hospitalization, the nurse realizes this client is at risk for developing: 1. Heart disease.
2. Depression.
3. Musculoskeletal disorder.
4. Diabetes.


2. Depression.

Rationale:
People who are unusually sensitive to failure to achieve their goals are said to have self-critical traits. These cognitive–personality features increase the likelihood that stressors will lead to depression. There is not enough information to determine if the client will develop heart disease, a musculoskeletal disorder, or diabetes.

Nursing

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The nurse is creating a plan of care for a patient with a cardiomyopathy. What priority goal should underlie most of the assessments and interventions that are selected for this patient?

A) Absence of complications B) Adherence to the self-care program C) Improved cardiac output D) Increased activity tolerance

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The nurse suspects that a client who is taking a sulfonamide has leukopenia. Which assessment findings would support this suspicion? Select all that apply

A) Sore throat B) Cough C) Nausea D) Photosensitivity E) Bruising

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A patient with pregnancy-induced hypertension is admitted complaining of pounding headache, visual changes, and epigastric pain. Nursing care is based on the knowledge that these signs indicate

a. Anxiety due to hospitalization b. Worsening disease and impending convulsion c. Effects of magnesium sulfate d. Gastrointestinal upset

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Select the intervention that the nurse places highest priority on when caring for an adult client with severe impetigo

a. Using a circular motion to apply pre-scribed topical antibiotic ointment b. Covering the client's hands with gauze or mitts to prevent scratching c. Administering prescribed systemic anti-biotics d. Giving the client two tepid baths, one in the a.m. and one in the p.m.

Nursing