What is the most appropriate nursing diagnosis for the patient recently diagnosed with hyperthy-roidism?
a. Hypothermia, related to increased meta-bolic processes
b. Constipation, related to increased hor-monal stimulation
c. Disturbed body image, related to weight gain
d. Disturbed sleep pattern, related to meta-bolic disturbance
D
The patient with hyperthyroidism has trouble staying asleep because of the metabolic disorder. Persons with hyperthyroidism feel uncomfortably warm, which also contributes to their sleeping difficulty.
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A 16-year-old youth has just been diagnosed with schizophrenia. The parents ask the nurse what causes schizophrenia. What would be the nurse's best response?
A) "Schizophrenia is caused by pain that the brain perceives." B) "Schizophrenia is thought to occur due to trauma experienced in childhood." C) "Schizophrenia is thought to reflect a fundamental biochemical abnormality." D) "Schizophrenia is caused by seizure activity in the brain."
A client diagnosed with major NCD is exhibiting behavioral problems on a daily basis. At change of shift, the client's behavior escalates from pacing to screaming and flailing. Which action should be a nursing priority?
1. Consult the psychologist regarding behavior-modification techniques. 2. Medicate the client with prn antianxiety medications. 3. Assess environmental triggers and potential unmet needs. 4. Anticipate the behavior and restrain when pacing begins.
Albumin levels are used to measure:
1. short-term changes in protein status. 2. starvation. 3. protein status. 4. long-term nutritional status.
The nurse caring for clients taking allopurinol (Zyloprim) for long-term therapy understands that which of the following will maximizing the benefits of allopurinol?
a. urinary acidifying agents. b. alkalinization of the urine. c. restricted fluid intake. d. an increase of veal or goose in the diet.