A patient with iron deficiency anemia has begun taking daily supplements of oral ferrous sulfate. The nurse who is planning this patient's care should add what nursing diagnosis to the nursing care plan?
A) Risk for excess fluid volume related to use of iron supplements
B) Risk for unstable blood glucose related to use of iron supplements
C) Risk for constipation related to use of iron supplements
D) Risk for peripheral neurovascular dysfunction related to use of iron supplements
C
Feedback:
Constipation is a common adverse effect of iron supplements. Neurovascular dysfunction, fluid volume excess, and unstable blood glucose are unlikely to result from iron supplements.
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The nurse is conducting health education regarding kidney health with a female patient who has recently been diagnosed with type 2 diabetes. What should the nurse teach this individual about the normal functioning of her kidneys?
A) "If you lose even 10% of your kidneys' normal function, it can radically affect your overall health." B) "Your kidneys are adept at compensating for diminished function, but it's still important to safeguard their health." C) "It's vital that you have two functioning kidneys in order to maintain a regular lifestyle." D) "You need to protect your kidneys because you won't know that they're unhealthy until they've nearly shut down."
You are admitting a patient to your unit who has just come back from surgery. The patient's husband is providing the information you need. During the discussion with the patient's husband, you discover that the patient has a living will
What applies to a living will? A) The patient is legally unable to refuse basic life support. B) The physician may disagree with the patient's desires for treatment. C) The patient may nullify the living will during the illness. D) Power-of-attorney may change while the patient is hospitalized.
A patient diagnosed with a pituitary adenoma has arrived on your unit. Based upon your initial assessment, the patient is most likely to exhibit what clinical manifestations?
A) Decreased intracranial pressure B) Headache C) Hyperthalamic disorders D) Restlessness
The nurse removes the client's hydrocolloid dressing and observes minimal clear and watery drainage. Which should the nurse implement?
1. Evaluate for leukocytosis. 2. Change to foam dressing. 3. Collaborate with provider. 4. Document serous drainage.