An intoxicated client is admitted to your unit and standard orders are instituted including a "banana bag" of IV fluids and a nutritional assessment
Based on these standard orders, what nursing diagnosis would be most appropriate for this client?
A) Fluid volume deficit
B) Altered nutrition
C) Altered health maintenance
D) Ineffective individual coping
C
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The perinatal nurse describes pre-labor or Braxton-Hicks contractions to the prenatal class attendants as:
A) Irregular B) Felt in the abdomen or groin C) Contributing to cervical effacement and dilatation D) Intensely painful
The personal values and beliefs in one's ability to achieve health behavior changes is known as
a. social incentive. b. self-efficacy. c. cognitive motivator. d. physical motivator.
A nurse is gathering data on a patient of a different culture. Which action can the nurse take to enhance communication while gathering cultural data?
a. Ignore the patient's culture and focus on the reason for hospital admission. b. Use hand gestures to get points across to a patient with poor English. c. Use close-ended questions to gather in-formation. d. Determine the patient's level of fluency in English.
A patient with dementia becomes belligerent when the nurse attempts to give him a tub bath. How should the nurse proceed?
a. Call for assistance to help the patient into the bathtub. b. Wait for the patient to calm down, and then give him a towel bath. c. Allow the patient to go without bathing for a day or two. d. Ask another staff member to attempt the tub bath.