During a routine physical examination, a client tells the nurse, "I don't know what to do anymore since my husband died and left me alone." Which is the priority nursing diagnosis for this client?
A) Helplessness
B) Anxiety
C) Imbalanced Nutrition
D) Overload Stress
Answer: A
The client states that she does not know what to do since her spouse died. This information would support the diagnosis of Helplessness. The client may or may not be anxious or stressed. There is not enough information to determine whether the client is or is not experiencing imbalanced nutrition.
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In the nursing process, the steps of implementation are practiced as follows: Standard Text: Click and drag the options below to move them up or down. Choice
1. Implementing nursing orders Choice 2. Documenting Choice 3. Reassessing the client Choice 4. Delegating Choice 5. Determining the nurse's need for assistance Choice 6.
A client has returned to the nursing unit after an open Nissen fundoplication. The client has an indwelling urinary catheter, a nasogastric (NG) tube to low continuous suction, and two IVs. The nurse notes bright red blood in the NG tube
What action should the nurse take first? a. Document the findings in the chart. b. Notify the surgeon immediately. c. Reassess the drainage in 1 hour. d. Take a full set of vital signs.
You are the nurse caring for a 72-year-old female who is recovering from abdominal surgery on the medical-surgical unit
The surgery was very stressful and prolonged, and you note on the chart that her blood sugars are elevated, yet she has not been diagnosed with diabetes. To what do you attribute this elevation in blood sugars? A) It is a result of antidiuretic hormone. B) She must have had diabetes prior to surgery. C) She has become a diabetic from the abdominal surgery. D) The blood sugars are probably a result of the "fight-or-flight" reaction.
When developing community health programs target to adult men, which of the following would the nurse need to integrate into the plan?
A) Improved quality of education programs available for men B) Increased access of health services by men as compared to women C) Limited male-gender specific research D) Increased awareness of men's health issues