The nurse is caring for a patient who has begun vomiting after undergoing bariatric surgery
When including this complication in the plan of care, what would be an appropriate nursing diagnosis related to the adverse effects of drowsiness and weakness associated with an antiemetic? A) Acute pain related to central nervous system (CNS), skin, and gastrointestinal (GI) effects
B) Risk for injury related to CNS effects
C) Decreased cardiac output related to cardiac effects
D) Deficient knowledge regarding drug therapy
B
Feedback:
Because the patient is experiencing CNS effects, the nurse will be concerned about the patient's safety. The appropriate nursing diagnosis would be risk for injury related to CNS effect. Acute pain related to CNS, skin, and GI effects; decreased cardiac output related to cardiac effects; and deficient knowledge regarding drug therapy would not be appropriate because no evidence is provided in the question to support any of these diagnoses.
You might also like to view...
A 29-year-old female has been admitted to the emergency department following a suicide attempt by overdose of acetaminophen. What changes in the client's liver and diagnostic results would the care team most likely anticipate?
A) Hepatocellular necrosis evidenced by increased ALT and AST levels B) Allergic inflammation accompanied by an increase in serum IgE and basophils C) Cholestatic reaction with increased bilirubin count D) Rapid onset of hepatitis and increased GGT, ALT, and bilirubin
A client is admitted to the emergency department with a body temperature of 103 °F. It is a hot and humid day, and the client works in a factory with no air conditioning. Which actions by the nurse are appropriate when providing care to this client?
Select all that apply. A) Use warm blankets. B) Restrict fluids. C) Apply cool washcloths to the face and neck. D) Assess vital signs. E) Remove or loosen clothing around the neck and chest.
A client is going to have her leg amputated tomorrow. She has been grieving for the past week. Which best describes what she is experiencing?
a. Dysfunctional grief b. Perceived loss c. Bereavement d. Anticipatory grief
A laboring patient's obstetrician has suggested amniotomy as a method for inducing labor. Which assessment(s) must be made just before the amniotomy is performed?
1. Maternal temperature, BP, and pulse 2. Estimation of fetal birth weight 3. Fetal presentation, position, and station 4. Biparietal diameter