The nurse identifies that a client has not met the expected outcome established for the nursing diagnosis Ineffective Individual Coping. What nursing action is priority?
A)
Revise the nursing diagnosis.
B)
Rewrite the interventions used to address the problem.
C)
Reassess the patient, looking for previously unknown stressors.
D)
Explore reasons why the outcome was not achieved.
D
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What assessment(s) would lead a nurse to suspect Hirschsprung's disease in a 1-month-old infant? (Select all that apply.)
a. Ribbon-like stools b. Fever c. Failure to thrive d. Vomiting e. Diminished peristalsis
The patient's urinalysis shows proteinuria. What is the significance of this finding?
A) Normal in late pregnancy B) Intrarenal acute renal failure C) Diminished glomerular filtration rate D) Compromised erythropoietin production
A nurse is amending a patient's plan of care in light of the fact that the patient has recently developed ascites. What should the nurse include in this patient's care plan?
A) Mobilization with assistance at least 4 times daily B) Administration of beta-adrenergic blockers as ordered C) Vitamin B12 injections as ordered D) Administration of diuretics as ordered
The nurse is evaluating a client who is receiving a thyroid hormone supplement. The client's TSH level has gone down, and the T3 and T4 levels have increased. The nurse knows that:
1. The TSH, T3, and T4 all should have increased. 2. A decrease in the TSH is undesirable. 3. An increase in the T3 and T4 is undesirable. 4. A decrease in the TSH is desirable.