The nurse is caring for a client with a stroke resulting in right-sided paresis and aphasia. The client attempts to use the left hand for feeding and other self-care activities. The spouse becomes frustrated and insists on doing everything for the client. Based on this data, which nursing diagnosis should the nurse document for this client?
A) Situational low self-esteem related to functional impairment and change in role function.
B) Disabled family coping related to dissonant coping style of significant person.
C) Interrupted family processes related to shift in health status of family member.
D) Risk for ineffective therapeutic regimen management related to complexity of care.
Answer: B) Disabled family coping related to dissonant coping style of significant person.
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The nurse is teaching a childbirth education class. When educating the participants about breast changes during pregnancy, which substance leaking from the breast is anticipated during pregnancy?
1. Blood. 2. Milk. 3. Serum. 4. Colostrum.
The hospital administration has changed from a traditional nursing system to self-governance. This change was recognized by nursing personnel as a positive change and is an example of which strategy?
1. Power-coercive strategy 2. Empirical-rational model 3. A driving force 4. A normative-reeducative strategy
The nurse is auscultating the thyroid gland and notes a bruit. Which of the following would the nurse associate with this finding?
1. Indicates stenosis of the thyroid artery. 2. Is a normal finding. 3. Indicates increased blood flow. 4. Occurs with hypothyroidism.
A pregnant patient asks the nurse about the safe use of medications during the third trimester. What will the nurse tell her about drugs taken at this stage?
a. They may need to be given in higher doses if they undergo renal clearance. b. They require lower doses if they are me-tabolized by the liver. c. They are less likely to cross the placenta and affect the fetus. d. They are more likely to cause anatomical defects if they are teratogenic.