An adolescent with cystic fibrosis is intubated with an endotracheal tube. Which is the most appropriate nursing diagnosis?
1. Potential for imbalanced nutrition, more than body requirements related to inactivity
2. Anxiety related to leaving chores undone at home
3. Potential for fear of future pain related to medical procedures
4. Powerlessness (moderate) related to inability to speak or communicate with friends
4
Rationale:
1. The adolescent with cystic fibrosis is likely to be underweight, and is unlikely to take in more calories than needed while intubated.
2. The adolescent is present-, not future-, oriented, and is unlikely to worry about household chores.
3. The adolescent is present-, not future-, oriented, and is unlikely to worry about future unknown procedures.
4. The adolescent values communication with peers, and might feel frustrated that she cannot speak to them while intubated.
Chapter 43_LO01
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A woman seeking prenatal care relates a history of macrosomic infants, two stillbirths, and polyhydramnios with each pregnancy. What does the nurse recognize these factors highly suggest?
a. Toxoplasmosis b. Abruptio placentae c. Hydatidiform mole d. Diabetes mellitus
As a nurse administering a magnesium sulfate drip on your pregnant ICU patient, you will maintain a continuous infusion of
A) 0.5 to 1 g/hr. B) 1 to 3 g/hr. C) 3 to 5 g/hr. D) 5 to 7 g/hr.
The nurse is reviewing the outcomes of a patient's plan of care. When working through this phase of the critical thinking process, the nurse will use ____________ to determine the patient's outcomes
1. Every step of the critical thinking process 2. Collection of information and generation of alternatives 3. Selection of alternatives and analysis of the situation 4. Analysis of the situation and generation of alternatives
The nurse has completed group education for clients with anxiety disorders. Which statement made be a client indicates an understanding of the education?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. "Relaxation techniques will often decrease anxiety." B. "Antianxiety medicine should be used until anxiety is gone." C. "Antianxiety medicine should not be used indefinitely." D. "Therapy may help identify where this anxiety comes from." E. "Different medications are required for treating anxiety than for treating difficulty sleeping."