A NANDA-accepted nursing diagnosis that could be written for the patient who is hemorrhaging and in hypovolemic shock from a bleeding peptic ulcer would include
a. Ineffective tissue perfusion (gastrointestinal).
b. Unilateral neglect.
c. Constipation.
d. Disuse syndrome (gastrointestinal).
A
Hemorrhage, with accompanying symptoms of shock, occurs when the ulcer erodes into a blood vessel.
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A director over multiple nursing units has known for the past year of the implementation of a new electronic bar coding medication administration system and has done nothing to prepare staff for the transition
After the first month of implementation the nursing staff is much stressed. The CNO (chief nurse officer) is concerned because the director: 1. Did not implement the bar coding system in a timely fashion. 2. Did not schedule additional staff while implementing the new system. 3. Did not take a client care assignment. 4. Has not participated in the administration of medications.
A client tells the nurse that her partner often makes negative remarks such as "Can't you do anything right?" The nurse is aware that this is an example of self-concept because these comments can affect:
a. the flexibility in personal and professional values b. being aware of what a person is doing in any given situation c. how a nurse places client needs before a nurse's personal needs d. how a person thinks or feels about him- herself
A nurse is conducting a medication education group for mentally ill clients. One of the clients states, "I don't think everyone needs medications. What about psychotherapy? Can you tell me about that?" What is an appropriate response by the nurse?
a. Talk to the group about the benefits of psychotherapy. b. Tell the group that psychotherapy is ineffective and they need medication. c. Acknowledge the question, but explain the time limitations and focus of that particular group. d. Explain that it is the physician's decision what type of treatment modality is for each client
The client says to the nurse, "I feel really close to you. You are the only true friend I have." The most therapeutic response the nurse can make is:
A) "I am sure there are other people in your life who are your friends; besides, we just met." B) "It makes me feel good that you trust me so much; it is important for the work we are doing together." C) "Since ours is a professional relationship, let's explore other opportunities in your life for friendship." D) "We are not friends. This is strictly professional."