A client, who is recovering from a severe myocardial infarction, was moved from the cardiac
intensive care unit to the cardiac step-down unit. He tells the new nurse "I will be fine once I get
home.
None of that 'watch your cholesterol, watch your calories, watch your stress' stuff is for me.
Nobody has mentioned it, so it will be business as usual.". Which nursing diagnosis should the nurse
consider adding to the client's care plan?
a. Fear related to unknown aspects of hospitalization
b. Deficient knowledge related to new diagnosis of myocardial infarction
c. Health-seeking behaviors related to desire to seek a higher level of wellness
d. Powerlessness related to unmet need to remain in control
B
The client may be denying the seriousness of his condition or he may simply not know about risk
factors and posthospital treatment plans. By receiving health teaching regarding risk factors related
to his condition and his treatment plan, denial can be diminished and knowledge can be increased.
The defining characteristics are not present for any of the other diagnoses listed as options.
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The nurse on the coronary unit is caring for a patient with known coronary artery disease who is being treated with cholestyramine (Questran) and hydrochlorothiazide (HydroDIURIL). What action will the nurse take?
A) Call the physician and refuse to give the drugs without further orders. B) Make sure that the drugs are given at least 2 hours apart. C) Give the patient an antacid with the drugs. D) Check the patient's blood glucose level before giving the drugs.
A client has received a terminal diagnosis and tells the nurse, "Why is God angry with me? Do I deserve this punishment?" Which nursing diagnosis is MOST appropriate for this client?
a. Readiness for enhanced religiosity b. Acute sorrow c. Readiness for enhanced spiritual well-being d. Spiritual distress
The nurse is assessing a frail older patient in a skilled facility. Which manifestations should the nurse consider as expected for this patient? Standard Text: Select all that apply
1. Low energy 2. Poor endurance 3. Energetic gait speed 4. Low activity tolerance 5. Generalized weakness
Paralyzed clients with reflex incontinence can lightly massage or tap the skin above the pubic area, a method known as __________ that stimulates relaxation of the urinary sphincter
Fill in the blank(s) with correct word