Which of the following entries would be an example of appropriate documentation?
A) Patient appears depressed and tired.
B) "I am so down today, and I just don't have any energy."
C) Patient had a good bowel movement.
D) Complains of abdominal pain. Probably constipated.
B
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The patient has undergone a percutaneous coronary intervention (PCI) for relief of coronary stenosis secondary to arteriosclerotic heart disease. During discharge teaching, what patient statement most indicates the need for reteaching?
A) "This procedure means that my heart disease is cured." B) "I should continue to take my antilipidemic." C) "If I have any chest pain, I will call my doctor." D) "I will start a walking program after my doctor agrees."
A client who is HIV positive feels socially isolated and avoids eating out because of the risk for foodborne illness. Which response should the nurse make to this client?
a. "Avoid salad bars and buffets." b. "Avoiding public restaurants is a good idea." c. "Always bring food from home when going out." d. "Limiting social interactions prevents food contamination."
You are preparing the nursing care plan for a middle-aged patient admitted to the intensive care unit for an acute myocardial infarction (heart attack)
His symptoms include tachycardia, palpitations, anxiety, jugular vein distention, and fatigue. Which of the following nursing diagnoses is most appropriate? a. Decreased Cardiac Output b. Impaired Tissue Perfusion c. Impaired Cardiac Contractility d. Impaired Activity Tolerance
Leigh Ann is receiving pancrelipase (Viokase) for chronic pancreatitis. Which observation best indicates the treatment is effective?
A. There is no skin breakdown B. Her appetite improves C. She loses more than 10 lbs D. Stools are less fatty and decreased in frequency