A patient with depression repeatedly tells staff members, "I have cancer. It's my punishment for being a bad person." Diagnostic tests reveal no cancer. Select the priority nursing diagnosis
a. Powerlessness
b. Risk for suicide
c. Stress overload
d. Spiritual distress
ANS: B
A patient with depression who feels so worthless as to believe cancer is deserved is at risk for suicide. Safety concerns take priority over the other diagnoses listed.
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The nurse recognizes which of the following as a barrier to achieving goals?
a. The effects of pain and/or clinical depression b. Patient involvement in setting patient goals c. Family involvement in setting patient goals d. Realistic expectations of the patient's capabilities.
Which technique would best assess for a herniated disc?
1) Tinel test 2) Apley test 3) herniated disc test 4) McMurray test on each leg
Which disorders can cause an extra beat that often originates from a source other than the SA node? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected
1. Ventricular fibrillation 2. Premature ventricular contraction 3. Premature atrial contraction 4. Atrial fibrillation 5. Cardiogenic shock
Ordered: kanamycin 45 mg IV stat, for a child with an infection SDR: 15 mg per kg per day divided in 2 or 3 doses Child's weight: 13.2 lb. Use a calculator. Available: a. Estimated weight in kilograms: b. Child's weight in kilograms: c. SDR for this child: d. Decision: safe or unsafe order? If unsafe, state the reason.If safe to give, how many milliliters should the nurse prepare?
e. Estimate: f. DA equation: g. Evaluation: