The nurse is caring for a Native American in a rural rehabilitation facility. The nurse notices that the patient has eaten very little since his admission 10 days ago. When she asks the patient about his eating, he states, "I can't eat any of this food
It just isn't what I eat at home and we don't prepare our foods this way." The nurse explains that the patient is on a very specific cardiac diet as a result of his heart attack and that he has lost 7 pounds since admission. Based on this scenario, what is/are the most appropriate nursing diagnosis(es) for this patient? Select all that apply.
a. Noncompliance related to difficulty adhering to the medical regimen
b. Possible Knowledge deficit related to disease process
c. Imbalanced nutrition: less than body requirement related to cultural dietary practices
d. Decreased appetite related to anxiety secondary having a heart attack
ANS: B, C
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The nurse is planning care for a 23-year-old client who has just been diagnosed with rheumatoid arthritis (RA). Which nursing diagnosis should the nurse identify as a priority for this patient's care?
1. Risk for aspiration 2. Disturbed body image 3. Bowel incontinence 4. Acute confusion
The nurse is determining the best nursing diagnosis for a client. The component of the nursing diagnosis that differentiates one diagnosis from another is considered:
a. diagnostic label. c. defining characteristics. b. definition. d. related factors.
In which section of the report does the nurse researcher address supported and unsupported data?
a. Results b. Discussion c. Literature review d. Methods
A prenatal client discloses that she takes high doses of vitamins. Which is the most accurate instruction that the nurse can provide in response to the client's statement?
a. "High levels of vitamins may cause harm to the fetus." b. "Only water-soluble vitamins may be harmful during pregnancy." c. "Megadoses of vitamins are associated with positive birth outcomes." d. "Vitamin supplementation is not needed during pregnancy."