A patient had a stroke 3 weeks ago and is taking warfarin (Coumadin). When visiting the laboratory for a prothrombin time, the patient reports taking gingko for memory enhancement. Which nursing diagnosis applies?
a. Impaired memory related to neurological changes
b. Deficient knowledge related to potentially harmful drug interactions
c. Ineffective denial related to consequences of mismanagement of therapeutic regime
d. Effective management of the therapeutic regime related to augmentation of anti-coagulant therapy
ANS: B
Gingko is purported to improve memory, concentration, and mood in patients with dementia. Because it antagonizes platelet-activating factor, it should not be taken by patients who are receiving anticoagulants or who have other potential bleeding problems. Thus, deficient knowledge is an appropriate nursing diagnosis.
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An older patient who was just diagnosed with a terminal disease states, "All my life I attended church, but I am still worried about what will happen after death." The nurse's best response is which of the following?
a. "The unknown may be frightening. Do you want to talk about this?" b. "Religious people know that God is a good God." c. "People that have had near death expe-riences say it is peaceful." d. "You must feel good about attending church most of your life."
While providing patient education for a patient newly diagnosed with Parkinson's disease and his or her family, the nurse will explain that Parkinson's disease is characterized by what?
A) Reduced cognitive function B) Abnormalities in stature C) Postural instability D) Reduced nerve transmission
With regard to the effects of disability among the elderly on activities of daily living, the progression of the loss of abilities is first
a. Feeding b. Toileting c. Dressing d. Walking
Anorexia is
a. an unpleasant feeling that results from hunger b. extreme loss of appetite c. a blood dysfunction resulting from dieting d. overeating