The nurse has been working with the family of a client with cystic fibrosis since the child's diagnosis 6 years ago. Over this time, the client's mother has gained 50 pounds and has recently started taking prescription antidepressants
On the last visit, the mother said, "I just don't know how much longer we can go on." What nursing diagnosis should the nurse consider as an addition to the family's care plan?
Caregiver Role Strain
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A 73-year-old woman has scheduled an appointment with her nurse practitioner to discuss her recurrent constipation
The woman states that she experiences constipation despite the fact that she takes docusate on a daily basis and performs cleansing enemas several times weekly. How should the nurse best respond to this patient's statements? A) "Because we become more prone to constipation as we age, you'll likely need to increase the number of stool softeners you take." B) "I'll refer you to a specialist because it could be that you have a disease affecting your bowels or stomach." C) "Taking too many laxatives can make your bowels dependent on them, making you more susceptible to constipation." D) "Try using a different over-the-counter laxative and see that if you resolves your problem."
Refusing to work with a staff member who dresses unprofessionally most closely represents which change strategy?
A) Power-coercive B) Normative-reeducative C) Rational-empirical D) Resistance-withdrawal
The nurse would write which of the following nursing diagnoses for a client with respiratory disease to avoid documenting a legally inadvisable statement?
1. Risk for ineffective airway clearance related to refusal to cough and deep breathe 2. Risk for ineffective airway clearance related to laziness with respiratory exercises 3. Risk for ineffective airway clearance related to shallow breathing and weak cough 4. Risk for ineffective airway clearance related to not being given an incentive spirometer
A gravida 3, para 2 woman at 41 weeks' gestation is 1 cm dilated and 60% effaced. She has not ruptured her membranes, has not passed a mucus plug, and is not experiencing labor
It is decided that if she does not experience labor by the next day, she will be induced with oxytocin (Pitocin). Which actions are key to the nursing care of a woman experiencing induction? (Select all that apply.) a. Provide an explanation of all procedures to the client. b. Monitor mother's vital signs throughout the procedure. c. Insert and monitor arterial blood pressure via an inserted arterial line. d. Continuously monitor fetal toleration to the induction. e. Insert a Foley catheter and monitor hourly urine outputs. f. Assess for obstetric complications and notify physician as warranted. g. Monitor the intravenous infusion of medication. h. Continue to increase dosage, titrating until fetal distress is marked.