A female patient, prominent in the local media, has had surgery for a colostomy. The patient avoids looking at the colostomy and refuses visitors. Identify the most appropriate nursing diagnosis
A) Altered self-esteem related to colostomy and poor self-image
B) Disturbed body image related to colostomy as evidenced by avoidance of colostomy
C) Fear of rejection by others related to colostomy and altered self-image
D) Altered role performance related to inability to cope with visitors
Ans: B
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An adult patient has developed renal failure secondary to an overdose of a nephrotoxic drug. Which of the following assessment findings would the nurse recognize as being most suggestive of impaired erythropoiesis?
A) Frequent infections and low neutrophil levels B) Fatigue and increased heart rate C) Agitation and changes in cognition D) Increased blood pressure and peripheral edema
A program outcome essential for health care students is that they be skilled in which of the following?
1. Electronic spreadsheet applications 2. Electronic database management applications 3. Applications that facilitate electronic literature searches 4. Electronic slide presentation applications
When instructing a client on the three steps of a proctosigmoidoscopy, which of the following would not be included?
1. Placement of a nasogastric (NG) tube for gastric deflation 2. Digital examination to dilate the anal sphincters to detect obstruction 3. Sigmoidoscope to examine the distal sigmoid colon and rectum 4. Proctoscope to examine the lower rectum and anal canal
Which medication from the medication administration record should a nurse administer to provide immediate intervention for a psychotic patient whose aggressive behavior continues to escalate despite verbal intervention?
a. Lithium (Eskalith) b. Trazodone (Desyrel) c. Olanzapine (Zyprexa) d. Valproic acid (Depakene)