The nurse develops a care plan for a patient who has been prescribed a folic acid derivative that includes what priority nursing diagnosis?
A) Deficient knowledge regarding drug therapy
B) Monitor possibility of hypersensitivity reactions
C) Acute pain related to injection or nasal irritation
D) Risk for fluid volume imbalance related to cardiovascular effects
D
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Nursing diagnoses related to drug therapy might include: Risk for fluid volume imbalance related to cardiovascular effects. Deficient knowledge and acute pain might apply to this patient, but the priority nursing diagnosis this patient, but the priority nursing diagnosis for this patient is the risk for fluid imbalance related to cardiovascular effects. Monitoring for hypersensitivity is not a nursing diagnosis.
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1. Topical anesthetic 2. Magill forceps 3. Cuffless endotracheal tube (ET) 4. Oxygen cannula 5. Water-soluble lubricant
A physician is concerned that a 70 year old female client may have osteoporosis after reviewing her x-rays following a fall in her home. The test the physician orders to make a diagnosis of osteoporosis is a(n):
a. MRI c. bone scan b. DEXA scan d. myelogram
The 20-year-old client at ten weeks' gestation is preparing for her first prenatal visit. She confides, "This pregnancy was unplanned. I'm not sure if I want to be pregnant or not. I haven't even told my boyfriend I'm pregnant
And I haven't decided if I'm going to continue the pregnancy." Which of the following statements should the nurse make next? A. "It's really unusual for a pregnant woman to feel this way early in the pregnancy." B. "These thoughts are because your mother died when you were four years old." C. "You should go to a pregnancy support group to be a good mother." D. "It's common to feel ambiguous about pregnancy in the first trimester."
The nurse is assisting a multiparous woman to the bathroom for the first time since her delivery 3 hours ago. When the client stands up, blood runs down her legs and pools on the floor. The client turns pale and feels weak
What would be the first action of the nurse? 1. Assist the client to empty her bladder 2. Help the client back to bed to check the fundus 3. Assess her blood pressure and pulse 4. Begin an IV of lactated Ringer's solution