The client's chief complaint is, "I just can't get around like I used to. I have to stop halfway up the stairs to the bedroom, and just walking to the bathroom makes me so tired
" Which nursing diagnosis is most likely appropriate for this client? Activity Intolerance: A)
Level 1
B)
Level 2
C)
Level 3
D)
Level 4
C
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The nurse is caring for a patient who has just had a massive myocardial infarction. Which is the priority nursing diagnosis for this patient?
a. Impaired comfort r/t noisy ICU environment and need for frequent monitoring b. Interrupted family processes r/t hospitalization of primary wage earner c. Readiness for enhanced knowledge r/t cardiac rehabilitation options d. Decreased cardiac output r/t weakened cardiac muscle and irregular heartbeat
The physician has ordered lidocaine 2 g in 500 mL of D5W. It is to infuse at 1 mg/min per infusion pump. What is the correct IV flow rate in mL/hr?
A) 5 B) 10 C) 15 D) 20
When obtaining a specimen for culture from a wound, the nurse should obtain the sample from the:
a. edges of the wound. c. deepest section of the wound. b. area showing clean granulation. d. area with significant drainage.
Which nursing intervention most effectively assists mentally ill clients to work towards recovery?
A) Encourage clients to exercise control in their relationships with professionals and in their own lives. B) Let clients know when the nurse is frustrated with their progress. C) Keep client away from other clients with mental illness. D) Inform clients when the nurse believes they should be making progress.