The nurse is caring for an adolescent client with cystic fibrosis who is intubated with an endotracheal tube and is breathing with the assistance of a ventilator
The client is currently alert and oriented to surroundings but has been told by the parents that survival may not be likely. Which is the most appropriate nursing diagnosis for this client?
A) Potential for Imbalanced Nutrition, More Than Body Requirements related to inactivity
B) Potential for Fear of Future Pain related to medical procedures
C) Anxiety related to leaving chores undone at home
D) Powerlessness related to inability to speak to or communicate with friends
Answer: D
The adolescent values communication with peers and may feel frustrated that he cannot speak to them while intubated. The adolescent is present, not future, oriented and is unlikely to worry about household chores or future unknown procedures. The adolescent with cystic fibrosis is likely to be underweight and is unlikely to take in more calories than needed while intubated.
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Much of the chaos that is present in healthcare comes from:
1. the mix of Newtonian and New Science nurses and doctors. 2. the demands of health maintenance organizations. 3. the lack of healthcare coverage for many Americans. 4. the opposition of some physicians to the insurance companies.
The formula used to guide time-out as a disciplinary method is
a. 1 minute per each year of the child's age b. To relate the length of the time-out to the severity of the behavior c. Never to use time-out for a child younger than 4 years d. To follow the time-out with a treat
A planned quasi-experimental study using a nonequivalent control group design has several extraneous variables that threaten its internal validity. The nurse researcher's actions should be based on which understanding?
a. The results of the study will not be statistically significant. b. The random assignment of subjects to groups will nullify the intervening variables. c. The study should be strengthened by controlling intervening variables. d. Because observation rather than causation is the purpose of the study, no action is necessary.
During pharmacology class, a nursing professor poses the following question: "We have learned that certain medications, such as fluoroquinolones, are effective because they inhibit bacterial DNA replication
Why don't these medications cause harm to the nonbacterial cells in the body?" Which student nurse answered the question correctly? 1. Student B: "Medications such as fluoroquinolones do not appear to affect human DNA because human DNA is very similar to bacterial cell DNA." 2. Student D: "Human DNA is inherently healthier than bacterial DNA, so medications such as fluoroquinolones do not affect their replication." 3. Student C: "Medications such as fluoroquinolones don't appear to affect human DNA replication because of the difference between the enzymes needed for bacterial and human DNA replication." 4. Student A: "These medications protect healthy human cells while they attempt to disrupt bacterial DNA replication."