A patient is seen in the STI clinic with his third case of gonorrhea in the last 18 months. The patient says, "Just give me my medicine so I will quit burning."
Which nursing diagnosis would the nurse prioritize as most important for this patient? 1. Impaired Tissue Integrity
2. Anxiety
3. Deficient Knowledge
4. Self-Neglect
4
Rationale 1: Impaired Tissue Integrity may occur, but this is not the current priority.
Rationale 2: There is no evidence that this patient is anxious about his diagnosis.
Rationale 3: As this is at least the patient's third contact with the STI clinic, it is unlikely that information has not been provided. This is not the priority diagnosis.
Rationale 4: The patient who has recurrent gonorrhea is not using the information provided to prevent infection from recurring.
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A healthcare worker who is asymptomatic has a screening TST result of 10 mm of induration during a pre-employment physical. What will the nurse reading this test tell the patient?
a. "This is a negative test, so you are cleared for employment." b. "You have latent TB and will need to take isoniazid for 6 to 9 months." c. "You need to have a chest radiograph and a sputum culture." d. "You will begin taking a four-drug regi-men to treat tuberculosis."
In early pregnancy, a woman is scheduled for a sonogram for detection of the gestational sac. As part of your instructions prior to this study, you would tell her
A) not to drink any fluid 1 hour prior to the study. B) to be prepared for a catheter to be inserted prior to the study. C) to empty her bladder just prior to the study. D) to drink a large amount of fluid prior to the study.
An adolescent client was recently admitted to the psychiatric unit because of impulsivity and acting-out behavior at school. The nurse should initially implement which nursing action?
A. Redirect the client to activities to decrease stress. B. Explain the unit rules and consequences of breaking the rules. C. Place the client on close observation to insure a trusting relationship. D. Administer an anti-anxiety medication.
Which of the following imbalances may occur secondary to kidney malfunction, improper diets, or unusual physical activity?
A. fluid-electrolyte B. hypotension-hypertension C. acid-base D. input-output