The patient who is experiencing an alteration in mobility often has one or more nursing diagnoses. The nurse would use the diagnosis of Impaired physical mobility for a patient who is
a. Not completely immobile.
b. Completely immobile.
c. At risk for multisystem problems.
d. At risk for single-system involvement.
A
The diagnosis of Impaired physical mobility applies to the patient who has some limitation but is not completely immobile. The diagnosis of Risk for disuse syndrome applies to the patient who is immobile and at risk for multisystem problems because of inactivity. Beyond these diagnoses, the list of potential diagnoses is extensive because immobility affects multiple body systems.
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A nurse is working with a male patient who has recently received a diagnosis of human immunodeficiency virus (HIV). When performing patient education during discharge planning, what goal should the nurse emphasize most strongly?
A) Encourage the patient to exercise within his limitations. B) Encourage the patient to adhere to his therapeutic regimen. C) Appraise the patient's level of nutritional awareness. D) Encourage a disease-free state,
An older patient is started on spironolactone to control hypertension. The nurse knows to monitor for
a. hyperkalemia. c. confusion. b. irregular heart rate. d. pulmonary edema.
A hospital's budget is incremental. Which statement by the nurse manager reflects use of this type of budget? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Standard Text: Select all that apply. 1. "The finance department sent me the budget worksheet with last year's expenses." 2. "We have $1,000 left in our education account that we need to spend before the year is over. Who has an idea for a class to attend?" 3. "I have to justify all our activities as if we have never done them before." 4. "I like this type of budget preparation because it is fairly simple and straightforward." 5. "In order to create next year's budget, I am to start at 80 percent of what we budgeted last year."
A patient has been diagnosed with a brain tumor that cannot be removed surgically. During each office visit, the nurse will be assessing the patient for syndrome of inappropriate antidiuretic hormone (SIADH)
Which of the following assessments would alert the clinic nurse that the patient may be developing this complication? A) Complaints that his urine output is decreased, no edema noted in ankles, and increasing headache B) Elevated blood glucose levels, dry mucous membranes, and severe projectile vomiting C) Fever, diarrhea, and nausea D) Muscle cramps, pins and needle sensation around the mouth/lips, and unexplained bruising