A student nurse is preparing to assess a client admitted with depression. Which symptoms would the student expect to find?
A) Flat affect
B) Labile mood
C) Pressured speech
D) Hyperactivity
A
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A client has a nursing diagnosis of Ineffective Airway Clearance. Which of the following would the nurse include in the client's plan of care? Select all that apply
A) Encouraging increased fluid intake B) Assisting the client in taking deep, diaphragmatic breaths C) Discouraging client movement D) Instructing the client to avoid coughing E) Encouraging the client to change positions
In drawing up a teaching plan for your patient with Addison's disease, include the following:
1. Discontinue hormonal replacement therapy if nauseated or has diarrhea. 2. Decrease medication if under stress or being treated for an infection. 3. Wear a medical alert tag, and carry emergency dexamethasone. 4. Begin a vigorous exercise program to overcome weakness and muscle wasting.
A patient with peripheral arterial disease has a nursing diagnosis of Ineffective Tissue Perfusion. Which nursing intervention is most appropriate for this nursing diagnosis?
1. Assist the patient in taking hot baths. 2. Do not elevate the patient's legs. 3. Encourage the patient to limit activity. 4. Limit visitors.
A mother comes to the clinic and tells the nurse, "I don't want my child to have any vaccinations. I have heard they cause autism." What is the best response by the nurse?
1. "Vaccinations are safe; there is no reason to worry." 2. "Vaccinations have some risks, but the benefits outweigh the risks." 3. "I understand what you are saying; this is really your choice." 4. "Vaccinations are required by law; you really don't have a choice."