The nurse writes two nursing diagnoses: (1) inadequate nutritional intake related to vomiting as manifested by a 3-lb weight loss and (2) risk for impaired skin integrity related to inadequate nutrition
What is the major difference between these diagnoses?
a.
The second diagnosis needs no defined nursing interventions.
b.
The second diagnosis needs medical intervention.
c.
The second diagnosis will not need to be evaluated.
d.
The second diagnosis reflects a problem that does not yet exist.
ANS: D
The actual nursing diagnosis represents a condition that is currently present. "Risk for" diagnoses are those that the patient is susceptible to, but not yet troubled by.
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Mr. Burris is a 66-year-old man who leads a sedentary lifestyle and who has recently been diagnosed with dyslipidemia
Mr. Burris is disappointed to learn of this apparent deterioration in his health, stating, "First it was the diabetes and then the arthritis, now this." The nurse has performed health education with Mr. Burris and has described metabolic syndrome. In addition to his elevated cholesterol levels, what aspect of Mr. Burris' health is congruent with a diagnosis of metabolic syndrome? A) Sedentary lifestyle B) Age over 65 coupled with male gender C) Arthritis D) Diabetes mellitus
What measures would be appropriate for the nurse to use to assess dysfunctional grieving in the older adult? (Select all that apply.)
a. Ask the patient to describe his or her relationship within the family. b. Observe the behavior of the patient when family members and friends come to visit. c. Ask questions about the patient's profession and work history. d. Observe for changes in eating habits. e. Monitor for changes in mental status.
The nurse has provided discharge education for a client prescribed an anticoagulant. Which statement made by the client indicates an understanding of the information?
A. "I should wear a medical alert bracelet that says I'm on an anticoagulant." B. "I need to eat more protein while I am taking this medication." C. "I can take enteric-coated aspirin but not plain aspirin for my arthritis." D. "I must limit my intake of vitamin C while I'm on warfarin (Coumadin)."
Which statement should the nurse include when discussing antibiotic resistance with a client?
A. "Resistance to antibiotics most often occurs when a client has a suppressed immune system." B. "Resistance to antibiotics can occur by the common use for nosocomial infections." C. "Resistance to antibiotics most often occurs when prescribed to treat the wrong organism." D. "Resistance to antibiotics can occur any time they are prophylactic prescribed."