A patient presents to the emergency department with reports of bloody diarrhea. During assessment, the patient becomes increasingly lethargic. The nurse's emergency interventions are based on which potential patient problems?
1. There is insufficient perfusion to the patient's brain.
2. There is impairment of gas exchange at the alveolar level.
3. The patient is at higher risk for infection.
4. The patient is at risk for altered nutrition secondary to anorexia or nothing by mouth (NPO) status.
5. The patient is at risk for confusion
1, 2, 5
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A Hispanic patient is frustrated because the healthcare team does not understand the importance of hot and cold therapies. Which nursing diagnosis is most appropriate for this patient?
1) Powerlessness 2) Impaired Verbal Communication 3) Spiritual Distress 4) Risk for Noncompliance
Five predominant ways of coping with illness were identified by nursing research studies. These are not the only means of coping. What would be another way of adaptively coping?
A) Becoming controlling B) Reprioritizing needs and roles C) Becoming aggressive D) Withdrawing
A 5-year-old child with seasonal allergies has been taking 2.5 mL of cetirizine [Zyrtec] syrup once daily. The parents tell the nurse that the child does not like the syrup, and they do not think that the drug is effective
The nurse will suggest they discuss which drug with their child's healthcare provider? a. Cetirizine [Zyrtec] 5-mg chewable tablet once daily b. Loratadine [Claritin] 10-mg chewable tablet once daily c. Fexofenadine [Allegra] syrup 5 mL twice daily d. Desloratadine [Clarinex] 5-mg rap-id-disintegrating tablet once daily
What is the maternity nurse's best defense against an accusation of malpractice or negligence?
1. Follows the physician's written orders 2. Acts on the advice of the nurse manager 3. Becomes certified as a nurse–midwife or nurse practitioner 4. Meets the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) standards of practice