A loving intervention is performed on an alcoholic client in an attempt to convince the client help is needed. The client has expressed a desire to abstain from alcohol and agrees to a maintaining sobriety through a detailed plan of action
The nurse views this plan of action as an expected outcome for which nursing diagnosis? A) Readiness for Enhanced Self-Health Management
B) Imbalanced Nutrition: Less Than Body Requirements
C) Anticipatory Grieving
D) Caregiver Role Strain
A
Feedback:
The first step to recovery is admitting that you are powerless over alcohol and that your life has become unmanageable. A Readiness for Self-Health Management begins once the client expresses a desire to manage the illness and makes choices appropriate for daily living. Imbalanced Nutrition, Anticipatory Grieving, and Caregiver Role Strain are all nursing diagnosis that may be appropriate for this client.
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A patient with aortic regurgitation is being transferred from the critical care unit to the step-down unit. The nurse receiving the patient in the step-down unit is aware that aortic regurgitation causes:
A) Blood to flow back from the aorta to the left ventricle B) Obstruction of blood flow from the left ventricle C) Blood to flow back from the left atrium to the left ventricle D) Obstruction of blood from the left atrium to the left ventricle
The most important nursing intervention to assure the patency of a nasogastric tube (NG) is to:
a. Clamp nasogastric tube 30 minutes twice a day. b. Monitor NG for patency and irrigate with sterile normal saline PRN as ordered. c. Cleanse nares at least once each shift; lubricate with a petrolatum ointment. d. Administer mouth care every 24 hours.
The parents of a child with a serious genetic illness tell the nurse they plan to conceive another child so that stem cells will be available for treatment. What information should the nurse provide?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. The infant may not be a transplant match for the ill child. 2. This action can result in a serious legal issue for the parents. 3. The infant may also have the genetic disorder. 4. The donation of the infant's stem cells cannot be specifically directed to any person. 5. This is a unique and wonderful plan.
Which of the following interventions would be appropriate for a client with anorexia nervosa?
A) Allow the client to eat whenever she feels hungry. B) Insist that the client sit in the dining room until all food is eaten. C) Have the client in view of staff for 90 minutes after each meal. D) Permit the client to eat any food she chooses, as long as she's eating.