An 80-year-old female was admitted with aspiration pneumonia. During her assessment, she mentions she has recently had difficulty eating because "everything keeps going down the wrong pipe
" When the nurse is developing a care plan, which of the following is an appropriate nursing diagnosis to include? A) High risk of aspiration C) Rule out aphasia
B) Increased mucus production D) COPD
A
Feedback:
Aspiration pneumonia can be the result of liquids getting into the lungs. This is common with vomiting or aphagia. Increased mucus production could be the result of the body trying to remove whatever was in the respiratory tract. Aphasia is difficulty speaking. COPD could be a chronic condition that accompanies aspiration pneumonia but is seldom the cause.
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Her appetite and activity level are reduced and she has lost interest in interacting with other patients. What would the nurse suspect the reason for her condition to be? a. Need for teaching about nutrition b. Anxiety c. Distaste for the food served d. Adult failure to thrive
A patient is notified of a diagnosis of hepatitis by the healthcare provider and informed that it can be transmitted to others even though the patient has not been ill. The patient has a distant history of injection substance use
For which type of hepatitis should the nurse plan care for this patient? 1. hepatitis A 2. hepatitis B 3. hepatitis C 4. hepatitis D
The nurse is assigned to a child who has a platelet count of 15,000 per cubic millimeter. The nurse realizes that which of the following is true?
a. A blood thinner such as Coumadin needs to be considered by the physician. b. There is a serious danger of infection even from normal skin bacteria. c. This is a normal platelet count, and there is nothing to worry about in regard to platelets. d. The child has a high risk of spontaneous bleeding, which can be life threatening.
A nurse is assisting a healthcare provider performing a digital rectal examination of a 65-year-old African American client. This test, along with the PSA blood test, is used as an early detection of what disease?
A) Prostate cancer B) Colorectal cancer C) Erectile dysfunction D) Orchitis