The nurse is caring for multiple patients. The nurse determines that which patient has the highest risk for developing gallstones?
a. A 37-year-old white man of normal weight on long-term corticosteroids for asthma.
b. A 42-year-old African American man of normal weight who has smoked for 25 years.
c. A 46-year-old Indonesian woman who is under normal weight and has recently had radiation treatments.
d. A 50-year-old obese Mexican American woman who has type 1 diabetes.
D
Obesity, diabetes mellitus (DM), rapid weight loss, and Crohn disease increase the risk for the development of gallstones. Native Americans and Mexican Americans have an ethnic predispo-sition to gallstones.
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The nurse manager is reviewing SOAP entries in the medical record for a novice nurse. Which entry indicates that the nurse needs further instruction concerning documentation?
1. S: The client states, "I am so nauseated." 2. O: The client reports feeling fatigued. 3. A: Bowel sounds are high-pitched in all abdominal quadrants. 4. P: The client will remain NPO.
Patients with myxedema are at high risk for any surgical procedure because of
a. decrease cardiac output. c. thrombocytopenia. b. overhydration. d. respiratory failure.
The client asks the nurse how to control hypertension without taking medications. Which teaching topics would be appropriate for the nurse to include? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1. Increase exercise. 2. Decrease sodium intake. 3. Stop smoking. 4. Increase weight if overweight. 5. Increase intake of dietary fat.
The nurse has identified the following nursing diagnoses for his assigned patients. Of the following diagnoses, which one indicates the greatest potential need to plan for the patient's spiritual needs?
A) impaired health maintenance B) ineffective individual coping C) decreased adaptive capacity D) impaired memory