The nurse is beginning an assessment with a pregnant patient from a non-English-speaking culture. The interpreter is having difficulty understanding what the patient is trying to say and the patient is becoming frustrated
Which nursing diagnosis would be the most appropriate for this situation? A) Fear
B) Anxiety
C) Powerlessness
D) Impaired verbal communication
D
Feedback:
For this patient, impaired verbal communication is because of the frustration that is occurring between the patient, interpreter, and the nurse. There is no evidence to support the diagnoses of fear, anxiety, or powerlessness with this patient.
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Which of the following can the nurse use to analyze family structure?
a. a family care plan c. a genogram b. an ecomap d. a family tree
A child with croup has an increased PaCO2, a decreased pH, and a normal H2CO3 blood-gas value. The nurse interprets this as uncompensated:
1. Respiratory acidosis. 2. Respiratory alkalosis. 3. Metabolic acidosis. 4. Metabolic alkalosis.
One function of hydrochloric acid is to activate:
1. Amylase 2. Bile 3. Lipase 4. Pepsin