A licensed practical/vocational nurse (LPN/LVN) is assisting in developing a nursing care plan for a patient in shock. Which nursing diagnosis should be included?
a. Increased cardiac output, related to hypertension
b. Increased cardiac output, related to hypo-tension
c. Decreased cardiac output, related to hy-povolemia
d. Decreased cardiac output, related to hypertension
C
Decreased amount of blood is ejected from the heart because of a decreased volume of fluid in the intravascular compartment.
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The older adult patient with long-term emphysema complains of a sharp pleuritic pain after a severe period of coughing. The patient's heart rate and respiratory rate have increased. Auscultation reveals no breath sounds on the left side
These are signs and symptoms of what condition? a. Pulmonary embolus b. Spontaneous pneumothorax c. Early signs of unilateral pneumonia d. An attack of asthma
A nurse sees the nursing theory of Dorothea Orem as providing a suitable framework for practice
This nurse would plan care to a. acknowledge the client's suffering related to illness. b. support client coping strategies to enhance adaptation. c. assist the client to discover and use stress reduction strategies. d. promote self-care activities of the seriously and persistently mentally ill client.
A patient becomes hostile or uncomfortable when discussing religion and spirituality with the nurse. The nurse's best intervention is to
a. press him for details about why he is so hostile or uncomfortable. b. offer to pray for him. c. ask him if he would like you to call a specific religious leader. d. record that the patient is uncomfortable with such issues, and move on to another topic.
An older patient has a subnormal body temperature and an infection. How does the nurse best describe this phenomenon?
1. The temperature regulating mechanism deteriorates with aging. 2. The patient's infection is improving with medication treatment. 3. The diagnosis of an infection is inaccurate and will be checked. 4. The temperature was obtained incorrectly and is inaccurate.