A 19-year-old has come to the clinic with complaints of not being able to study effectively. The nurse plans the care based on a nursing diagnosis of fatigue
Which of the following statements by the client validates the diagnosis by the nurse? 1. "I sleep for nine hours a night.".
2. "I have seasonal allergies to mold.".
3. "I work out in the gym two days a week.".
4. "I drink one beer when I go out with friend.".
2. "I have seasonal allergies to mold.".
Rationale:
Allergies and their reactions can cause a person to experience fatigue and to lose focus. Sleeping for nine hours a night is sufficient. Working out in the gym will help counteract fatigue. Drinking a beer occasionally will not cause fatigue.
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1. Learning more about best practices 2. Acting as a monitor to protect patient safety 3. Providing easy access to new knowledge 4. Delivering hands-on care 5. Using critical thinking to plan care
A client who has had a prosthetic valve replacement asks the nurse why he must take anticoagu-lants for the rest of his life. What is the nurse's best response?
a. "The prosthetic valve places you at greater risk for a heart attack." b. "Blood clots form more easily in artificial replacement valves." c. "The vein taken from your leg reduces circulation in the leg." d. "The surgery left a lot of small clots in your heart and lungs."
The nurse is concerned about possible substance abuse by a coworker. Which behavior warrants further investigation?
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When Rosalie is passing medications to one of her elderly patients, the patient tells Rosalie that she does not want to take the "new medicine" because she does not know what it is for and it makes her feel funny
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