From an assessment, the nurse learns that the client is having difficulty sleeping because of pain in the hips and knees due to arthritis. The client is weak and fatigued. Which diagnoses would be applicable to the client at this time?
1. Anxiety
2. Hopelessness
3. Ineffective Health Maintenance
4. Insomnia
5. Impaired Physical Mobility
Correct Answer: 3, 4, 5
Rationale: The diagnosis of Anxiety would not be applicable, as the client did not express past experiences of poor control of pain or anticipation of future pain events.
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A 38-year-old client in her second trimester states a desire to begin an exercise program to decrease her fatigue. Which of the following would be the most appropriate nursing response?
1. "Fatigue should resolve in the second trimester, but walking daily might help." 2. "Avoid a strenuous exercise regimen at your age. Drink coffee t.i.d." 3. "Avoid an exercise regimen due to your pregnancy. Try to nap daily." 4. "Fatigue will increase as pregnancy progresses, but jogging daily might help."
The nurse manager is conducting a nurse's annual performance review
Which events from the previous year would be evidence that this nurse is a successful follower? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. The nurse attended over 80 percent of staff meetings but offered little input into discussion. 2. The nurse participated in testing a new charting system before it was installed on the unit. 3. In a private meeting with the nurse manager, the nurse critiqued the manager's decision to change the unit's method of client assignment. 4. After attending an in-service presentation on a new intravenous access catheter, the nurse used one of the devices the next time an IV was ordered. 5. When asked for an opinion on an issue dividing the unit, the nurse replies, "I don't know. What do you think?"
Which of the following patients, when faced with acute stressful situations, would be considered at highest risk for becoming noncompliant with their medication regimen?
A) End-stage renal failure patient experiencing electrolyte imbalances related to having trouble sticking to his prescribed diet B) Teenager whose period is late by 2 weeks and afraid to tell her parents C) Paraplegic patient who forgot his pressure control device and has a small decubitus on his coccyx D) New mother who is breast-feeding every 2 to 3 hours throughout the day and night.
What is usually infused with standard peripheral parenteral nutrition intravenous (IV) therapy?
a. 50% glucose b. 5% glucose c. 0.9% sodium chloride d. Sterile water