Which of the following nursing diagnoses would be applicable to a patient who has rheumatoid arthritis?

A) Self-care deficit related to fatigue and joint stiffness
B) Ineffective airway clearance related to body image disturbance
C) Risk for violence related to anxiety
D) Urinary retention related to chronic pain


Ans: A

Nursing

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A patient who is visiting the clinic complains of having "stomach pains for 2 weeks" and describes his stools as being "soft and black" for approximately the last 10 days. He denies taking any medications. The nurse is aware that these symptoms are mostly indicative of:

a. Excessive fat caused by malabsorption. b. Increased iron intake, resulting from a change in diet. c. Occult blood, resulting from gastrointestinal bleeding. d. Absent bile pigment from liver problems.

Nursing

A nurse would expect a postpartum client's uterine and vaginal discharge on the 4th postpartum day to be lochia:

a. absent c. rubra b. alba d. serosa

Nursing

A patient with a long history of multiple sclerosis developed psychosis with acute mani

a. The nurse should anticipate that the health care provider will probably prescribe which medication to help stabilize the mania? a. Lithium (Lithobid) b. Amitriptyline (Elavil) c. Divalproex (Depakote) d. Diphenhydramine (Benadryl)

Nursing

The nurse is reviewing the records of four patients on heparin therapy. Which patient does the nurse determine has the highest risk for a bleeding disorder during heparin therapy?

a. A 10-year-old patient with an acute viral infection b. A female patient who gave birth more than 6 weeks ago c. A patient who takes a nonsteroidal antiin-flammatory drug d. A 60-year-old patient with kidney stones

Nursing