Which of the following nursing diagnoses has a correctly written "related to" statement?
1. Impaired urinary elimination related to new baby
2. Ineffective breastfeeding related to poor mothering
3. Urinary retention related to need for catheterization
4. Ineffective breastfeeding related to insufficient maternal milk supply
ANS: 4
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To address the nursing diagnosis Risk for impaired skin integrity related to dry skin, in the patient with hypothyroidism, the nurse would:
1. increase the frequency of bathing to get rid of the old and dry skin. 2. apply lotions and creams to help maintain moisture, and elevate lower extremities when sitting or lying. 3. increase her activities in order to increase her circulation to her skin. 4. take antihistamines to prevent itching.
Although the family of a newly widowed older adult patient lives several hours away, they are interested in providing appropriate support. The nurse suggests it would be most helpful if they would
a. telephone daily and arrange for a neighbor to help with the shopping. b. assume responsibility for paying the bills and upkeep of the home. c. encourage the patient to move into a smaller home and learn to drive. d. include the patient in their yearly vacation plans
The nurse would consider the client with which of the following lifestyle choices at greatest risk for developing toxoplasmosis?
A) The client has had no immunizations. B) The client lives in a homeless shelter. C) The client lives with three house cats. D) The client uses IV drugs.
The nurse is preparing to discharge a client home with a prescription for ibuprofen. Which of the following is a well-known side effect of this drug?
A) Tremors B) Gastrointestinal (GI) bleeding C) Rash D) Shakiness