A client, admitted with irregular chest pain and shortness of breath, complains of fatigue with activity. The client's body mass index (BMI) is 30.5. Which is the priority nursing diagnosis for this client?
A) Ineffective Coping
B) Fear
C) Imbalanced Nutrition: More than Body Requirements.
D) Fluid Volume Deficit
Answer: C
The client with a BMI of 30.5 is obese. In addition, the client has irregular chest pain and shortness of breath, and complains of fatigue with activity. The priority nursing diagnosis for the client at this time would be Imbalanced Nutrition: More than Body Requirements. Fear and Ineffective Coping would be applicable to the client diagnosed with an acute myocardial infarction. There is no evidence that the client has Fluid Volume Deficit.
You might also like to view...
A group of nurses are planning the care of an older adult who is being rehabilitated following a stroke
A nurse notes that hypertension and cardiovascular disease could have occurred over time if the patient previously experienced a state of chronic arousal. In a state of chronic arousal, what can happen within the body? A) Blood pressure decreases. B) Serum glucose levels drop. C) Arteriosclerosis may develop. D) Tissue necrosis may occur.
The multiple doses of liquid laxative that are given before a colonoscopy can be made more palatable by:
a. heating them slightly. b. diluting them with milk. c. offering a small snack with them. d. pouring them over ice.
The client with polycystic ovarian syndrome (PCOS) has been prescribed metformin (Glucophage). Education about this medication should include: "This medication will: (Select all that apply.)
A. Decrease your excessive hair growth." B. Make it easier to lose weight." C. Increase your acne." D. Improve your chances of pregnancy." E. Make your menstrual periods irregular."
Compute the amount of medication that will be given to administer one dose of the following orders, using the formula method to obtain your answers. Assume all tablets are scored, when necessary. Round all parenteral administration orders that are over 1 mL to one decimal place. Round all parenteral administration orders under 1 mL to two decimal places. Do not include zeros at the end of decimal
numbers. ? The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient's age, condition, reaction, additional medications, and other factors. Order: vitamin B12 100,000 units IM daily for 3 days Supply: 2 mL vial of vitamin B12 with 50,000 units/mL Give: __________ mL Fill in the blank(s) with correct word