Which nursing diagnosis is most applicable to a patient with new-onset seizures?
1. Anxiety
2. Self-Care Deficit
3. Activity Intolerance
4. Impaired Mobility
1
Rationale 1: Anxiety is related to fear of the unknown in the future as well as to loss of control.
Rationale 2: There is no indication that the patient will not be able to care for him- or herself.
Rationale 3: There is no evidence that the patient will be intolerant of activity.
Rationale 4: There is no evidence that the patient with new-onset seizures will experience an alteration of mobility.
You might also like to view...
The nurse cares for patients who receive propofol extended [Diprivan]. What are important nursing considerations for these patients? (Select all that apply.)
a. Ensuring that respiratory support equip-ment is readily available b. Maintaining the rate of intravenous infu-sion at 6 mg/kg/hr c. Refrigerating open vials of the drug up to 24 hours d. Stopping the infusion if a patient's CPK is greater than 5000 units/L e. Using a local anesthetic at the IV site prior to infusing the drug
What is the correct conversion of 2300 (military time) to standard time?
What will be an ideal response?
The physician has ordered ipratropium (Atrovent) for the client. What is a priority assessment question for the nurse to ask prior to administering this medication?
1. "Do you have glaucoma?" 2. "Do you have diabetes mellitus?" 3. "Do you have seizures?" 4. "Do you have gout?"
To prepare the surgical environment and begin setting up sterile supplies, the first staff member to perform a surgical scrub is the
1. Circulating nurse. 2. Scrub nurse. 3. Anesthesia provider. 4. Registered nurse first assistant (RNFA).