A pregnant patient is admitted with excessive thirst, increased urination, and a medical diagnosis of diabetes insipidus. The nurse chooses which nursing diagnosis as most appropriate?
1. Risk for Imbalanced Fluid Volume
2. Excess Fluid Volume
3. Imbalanced Nutrition
4. Ineffective Tissue Perfusion
1
Rationale 1: The patient with excessive thirst, increased urination, and a medical diagnosis of diabetes insipidus is at risk for Imbalanced Fluid Volume due to excess volume loss that can increase the serum levels of sodium.
Rationale 2: Excess Fluid Volume is not an issue for patients with diabetes insipidus, especially during the early stages of treatment.
Rationale 3: Imbalanced Nutrition is not supported by the assessment data provided.
Rationale 4: Ineffective Tissue Perfusion is not supported by the assessment data provided.
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An experienced nurse is describing the characteristics of a therapeutic one-to-one relationship to a nursing student. Which of the following is the most accurate description?
1. The relationship between the nurse and client is reciprocal. 2. The nursing process is the cornerstone of the relationship. 3. The essential feature of the relationship is a therapeutic alliance. 4. The nurse must meet the client's needs throughout the relationship.
A patient who has been taking propranolol for 18 months reports, "I stopped taking the medication because my blood pressure has been normal for the past 3 months." Which information should the nurse give to the patient?
a. "Stop the medication, and keep an accurate record of your blood pressures." b. "Stop the medication, and report any headaches or uncomfortable symptoms." c. "The drug should be tapered over a 2-week period to prevent rebound hypertension." d. "Continue the medication until another can be started to avoid withdrawal symptoms."
Which advanced nurse practitioner role is authorized by nurse practice acts, medical practice acts, and allied health laws?
1. Nurse anesthetist 2. Nurse midwife 3. Family nurse practitioner 4. Clinical nurse specialist
The nurse admits a client who initially presents as intelligent, articulate, and superficially charming
The client claims the admission to the mental health unit is a big mistake, stating that there was a mix-up in the emergency room and he was incorrectly identified. A probable diagnosis is: A) Obsessive-compulsive personality disorder. B) Antisocial personality disorder. C) Dependent personality disorder. D) Avoidant personality disorder.