The nurse is assisting in the development of a care plan for a patient with anemia. Which nursing diagnosis is most common in a patient with anemia?
a. Activity Intolerance related to tissue hypoxia
b. Ineffective Airway Clearance related to dyspnea
c. Chronic Pain related to bone marrow dysfunction
d. Risk for Infection related to reduction in circulating WBCs
ANS: A
Patients with anemia are fatigued related to poor oxygenation, making Activity Intolerance the best diagnosis. B. Anemia generally does not cause airway clearance problems, although it may cause dyspnea. D. Anemia is low RBCs, not WBCs. C. Pain is not a typical problem with anemia.
You might also like to view...
The nurse is caring for a client who is receiving digoxin (Lanoxin) once a day to slow the heart rate. What type of focused assessment should the nurse complete before administering the medication?
1. Assessing mental status 2. Assessing limb movement 3. Assessing an apical heart rate 4. Assessing pain intensity
The patient decides to discontinue standard medical treatment for diabetes mellitus and to rely on diet and herbal medications for blood sugar control. Which statements, made by the nurse, are appropriate?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "You are an adult and can do anything you want to do." 2. "We need to talk about how medications work to control diabetes mellitus." 3. "Tell me more about why you decided to make this change." 4. "Don't you know that you are gambling with your health?" 5. "I think that would be a mistake."
The nurse is documenting information about the client using Problem-Oriented Charting and the acronym SOAP. Rank the following pieces of information in the order that they should be documented
Standard Text: Click and drag the options below to move them up or down. 1. The client's skin is cool and dusky. Poor capillary refill noted. Oxygen saturation level is 90% on room air. The client was diagnosed with COPD in 1993. 2. The nurse will apply oxygen at 2 liters per minute, per healthcare provider's orders when the client's oxygen saturation level is below 92%. 3. The client states, "I am so tired all of the time. I feel like I'm not getting enough air into my lungs.". 4. The client is most likely experiencing an exacerbation of a chronic lung disease.
Which adjective best describes a therapeutic psychiatric nurse?
a. Holistic b. Organized c. Diplomatic d. Compassionate