The client has developed the female athlete triad. Which of the following is the most likely nursing diagnosis for this client, as the client ages?
1. Impaired skin integrity
2. Impaired physical mobility
3. Ineffective breathing pattern
4. Impaired tissue perfusion
2
Rationale: This client is most at risk for developing osteoporosis due to poor bone mineral density based upon her inadequate food intake and intense exercise. The most likely nursing diagnosis would be impaired physical mobility due to osteoporosis. Impaired skin integrity, ineffective breathing pattern, and impaired tissue perfusion are the least likely diagnoses among these choices.
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A woman is receiving clomiphene citrate (Clomid). What assessment finding warrants immediate intervention by the nurse?
A. Chest pain worse with inspiration B. Complaints of anxiety and depression C. Headache and bilateral eye pain D. Increase in blood pressure of 10%
A nurse is teaching the parent of a child with spastic quadriplegia about intrathecal baclofen [Lioresal]. Which statement by the parent indicates a need for further teaching?
a. "I can expect my child to be more drowsy when receiving this medication." b. "I should not notice any change in my child's muscle strength." c. "I will contact the provider if my child is constipated or cannot urinate." d. "If my child has a seizure, I should stop giving the medication immediately."
Which adverse effect is shared among all antidysrhythmic drugs?
1. Edema 2. Impotence 3. Photosensitivity 4. Prodysrhythmic effects
The nurse is caring for a patient with a history of aggressive behavior. For which reason should the nurse suspect a cardiac medication has been prescribed for this patient?
1. Calcium channel blockers increase dopamine levels, decreasing the risk of violence. 2. Calcium channel blockers decrease dopamine levels, decreasing the risk of violence. 3. Beta-adrenergic agonists decrease norepinephrine levels, decreasing the risk of violence. 4. Beta-adrenergic antagonists decrease norepinephrine levels, decreasing the risk of violence.