The nurse is caring for a patient who has diarrhea. What is the priority nursing diagnosis for this patient?
a. Readiness for enhanced knowledge related to prescribed diet modifications
b. Imbalanced nutrition: less than body requirements related to poor appetite
c. Deficient fluid volume related to excessive loss of fluid through stool
d. Anxiety related to incontinence with loose stools and need for clothing change
ANS: C
Dehydration is the priority nursing problem for this patient, so deficient fluid volume is the most important nursing diagnosis. Imbalanced nutrition, Readiness for enhanced knowledge, and Anxiety can be addressed once fluid balance is restored.
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Which statement would indicate to the nurse that a 35-year-old pregnant client and spouse understand the instructions regarding amniocentesis?
1. The client tells the spouse that the test has to be done before the 14th week of pregnancy. 2. The client tells the spouse that childbirth classes are not necessary if the baby has Down syndrome. 3. The client and spouse state that the results of the amniocentesis will take up to 2 weeks. 4. The client and spouse state that it is not unusual for amniocentesis to misdiagnose a problem with the baby.
Environmental justice is an important consideration when working with tribal communities. In which way is traditional tribal practices most often directly affected by contaminated land and water?
A) Spiritual practices B) Dietary practices C) Work opportunities D) Exercise opportunities
A nurse is trying to determine whether Mrs. Simpson is exhibiting symptoms of depression or of her medical illness. Which of the following group of symptoms would indicate to the nurse that Mrs
Simpson may be experiencing depression in addition to being medically ill? A) Problems sleeping, decreased appetite, and frequent crying B) Low self-esteem, decreased appetite, and problems sleeping C) Feeling guilty, difficulty making decisions, and low self-esteem D) Loss of energy, difficulty making decisions, and problems sleeping
Student nurses are being questioned by the nursing instructor about the health care coordination system. The instructor knows the students understand health care delivery when making which statement?
a. "Health care is available for everyone at every time." b. "Health care needs are best met with a collaborative effort." c. "Health care is adequately meeting the needs of the homeless populations." d. "Health care needs are mostly in third world countries."