Which of the following nursing diagnoses is a priority related to the problem of urinary incontinence?
a. Risk for social isolation
b. Risk for impaired skin integrity
c. Risk for inadequate fluid intake
d. Risk for impaired coping
Answer: b. Risk for impaired skin integrity
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The nurse is caring for a client admitted through the Emergency Department with a diagnosis of acute, severe gastritis. The client reports 18-20 diarrhea stools per day for the past three days
Which of the following blood gas results would be consistent with this diagnosis? 1. pH 7.46, pCO2 22, HCO3 24 2. pH 7.30 pCO2 38, HCO3 18 3. pH 7.39, pCO2 38, HCO3 24 4. pH 7.28, pCO2 49, HCO3 22
The nurse is caring for a client who is human immunodeficiency virus (HIV) positive with a diagnosis of toxoplasmosis. Confirmation the diagnosis of toxoplasmosis in the client is made by which of these signs?
a. recent onset of neurological abnormality b. presence of CD4 T cells c. presence of white patches on tongue or oral mucosa d. evidence of elevated protein level in cerebrospinal fluid
Twelve hours after a client begins receiving IV verapamil HCl, blood pressure is 89/60 with a pulse rate of 45 beats per minute. The nurse should:
a. decrease the verapamil infusion rate. c. retake the vital signs in 15 minutes. b. lower the head of the client's bed. d. stop the verapamil infusion.
A client of Asian ethnicity asks the nurse why the client's dose of antipsychotic medication is effective at a lower dose than for other clients who are mostly from European backgrounds. Which nursing response is correct?
A) Often people of Asian ethnicity have lower metabolic rates and need lower amounts of medication. B) There is no correlation between ethnic background and the amount of medication someone receives. C) Asians are rapid metabolizers of medications and have fewer side effects. D) People of European ethnicity have more side effects from medication than do those of Asian ethnicity.