The nursing diagnosis that would not be made for a client having experienced a situational crisis is:
1. Risk for Loneliness.
2. Risk for Self-directed Violence.
3. Spiritual Distress.
4. Impaired Social Interaction.
1
Rationale: Loneliness may result from an individual's actions following a crisis, but it is not a nursing diagnosis. The other three answers are among the most common nursing diagnoses for people in crisis.
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The following substances, among others, are found in a urine sample: urea, creatinine, sodium, chlorine, potassium, glucose, and bicarbonate ions. Which of the following could account for this abnormal finding?
a. Blood pressure of 76/30 mm Hg c. Blood glucose of 36 mg/dL b. Blood glucose of 456 mg/dL d. Blood potassium level of 4.1 mEq/L
As a member of the budgeting committee, the nurse manager reviews the salaries for file clerks in the accounting department. These salaries should be included in which budget item?
1. The fixed cost 2. The variable cost 3. The indirect cost 4. The direct cost
When the 18-year-old girl is diagnosed with adenoma of the anterior pituitary, the nurse assesses for the classic signs of this diagnosis, which are (select all that apply):
1. cessation of menses. 2. milk production. 3. changing facial features. 4. excessive urine output. 5. weight gain.
Medications administered that are renal toxic should have frequent assessments of which blood values?
A) AST and ALT B) BUN and creatinine C) WBC and platelets D) RBC and differential