Which nursing diagnosis would be considered a priority nursing diagnosis for clients experiencing dysrhythmias?
A. Impaired Coronary Conduction
B. Ineffective Tissue Perfusion
C. Increased Cardiac Output
D. Risk for Injury
B
Clients with dysrhythmias may have Ineffective Tissue Perfusion related to decreased cardiac output. Impaired cardiac conduction is not a nursing diagnosis. In dysrhythmias, cardiac output is decreased, not increased. Although there may always be a Risk of Injury in certain circums-tances, it is not the priority diagnosis for this problem.
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A nurse in the cardiac critical care unit is assisting with pericardiocentesis for a patient who developed a pericardial effusion. Which of the following outcomes would suggest that the procedure has achieved the desired effect?
A) The patient's arterial blood gases normalize B) The patient's pulse pressure narrows C) The patient's heart rate increases D) The patient's blood pressure increases
A patient is being discharged home after mastoid surgery. What topic should the nurse address in the patient's discharge education?
A) Expected changes in facial nerve function B) The need for audiometry testing every 6 months following recovery C) Safe use of analgesics and antivertiginous agents D) Appropriate use of OTC ear drops
Mrs. James is 7 months pregnant and states that she has developed a problem with constipation. She eats a well-balanced diet and is usually regular
You should explain that constipation is common during pregnancy because of changes in the colorectal areas, such as: a. decreased movement through the colon and increased water absorption from the stool. b. increased movement through the colon and increased salt taken from foods. c. looser anal sphincter and fewer nutrients taken from foods. d. tighter anal sphincter and less iron elimi-nated in the stool.
In which phase of drinking behavior of an alcoholic would you notice the person beginning to drink alone, hiding alcohol, and being preoccupied with his or her supply of alcohol?
a. prealcoholic b. early alcoholic c. true alcoholic d. chronic alcoholic