Which nursing diagnosis should take priority in a nursing care plan for a patient with Ménière disease?
a. Social isolation, related to anxiety
b. Risk for injury, related to falls
c. Risk for deficient fluid intake, related to weakness
d. Nutrition: Less than body requirements, related to fatigue
B
The nursing diagnosis that should take priority is that of preventing injury to the patient. A pa-tient with Ménière disease is prone to falls because of dizziness.
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A 47-year-old male with a BMI of 32 does not smoke, has a blood pressure of 160/90, and a family history of diabetes and kidney disease
When preparing to perform primary prevention education for this patient, which non-modifiable risk factors should the nurse identify? 1. Age, gender, and genetics 2. Previously diagnosed disease processes 3. Diabetes, hypertension, and kidney disease 4. Gender and family history
The nurse is present when the physician discusses the potential effects of a chemotherapy regimen for a client with cancer. Weighing the benefits of the chemotherapy against possible side effects is an example of which ethical principle?
a. Paternalism b. Beneficence c. Justice d. Autonomy
The nurse is assessing a patient diagnosed with bipolar disorder at the mental health clinic. The patient is exhibiting symptoms of mania
When reviewing the patient's current medications, which medication could be the cause of the current manic episode? 1) Beta blockers 2) Birth control pills 3) MAO inhibitors 4) Methyldopa
The pregnant client reports to the nurse that she is eating dirt on a weekly basis, and was told to do this by her grandmother to have a healthy pregnancy. How should the nurse respond?
A. "The soil may contain contaminants that could harm your baby." B. "This practice is completely unhealthy and should be stopped." C. "Your grandmother gave you bad advice. Stop at once." D. "There is no problem with this practice. Feel free to continue."