A patient who has bacterial endophthalmitis in the left eye is restless, frequently asking whether the eye is healing, and whether removal of the eye will be necessary
Based on the assessment data, which nursing diagnosis is most appropriate at this time?
a. Grieving related to current loss of functional vision
b. Anxiety related to the possibility of permanent vision loss
c. Situational low self-esteem related to loss of visual function
d. Risk for falls related to inability to see environmental hazards
ANS: B
The patient's restlessness and questioning of the nurse indicate anxiety about the future possible loss of vision. Because the patient can see with the right eye, functional vision is relatively intact. There is no indication of impaired self-esteem at this time.
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A community health nurse assesses a community and finds that several nuclear families living in the same household or near one another share goods and services. The nurse identifies this as which family structure?
A) Multigenerational family B) Augmented family C) Blended family D) Kin-network
What are the four types of shock?
a. Multiple organ, cardiogenic, renal, and anaphylactic b. Cardiogenic, renal, hypovolemic, and sep-tic c. Renal, hypervolemic, obstructive shock, and neurogenic d. Hypovolemic, cardiogenic, obstructive shock, and vasogenic
Herbal products are very popular worldwide for prevention and treatment of illness. As a nurse you should:
a. Advise patients to purchase herbal products from the least expensive source b. Inform patients that research conclusively states that herbs are safe c. Learn about herbal therapies and include them in questions when taking a patient's history d. Disregard patients' use of herbal products, as their use will not impact traditional medicine
The nurse is planning care for a postoperative patient. Which of the following should be included when planning for this patient's nutritional needs?
1. Daily caloric intake should be increased. 2. Calories should be limited because of reduced activity. 3. Protein intake should be restricted. 4. Carbohydrate intake should be restricted.