Which of the following clients is not at risk for not tolerating the stress of a fever?
1. client with cardiac difficulties
2. client with renal insufficiency
3. client with autoimmune disease
4. client with gastrointestinal disease
ANS: 1
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You are developing a care plan for a client diagnosed with dissociative amnesia. What nursing diagnosis would you be sure to include in this client's plan of care?
A) Sensory perceptual alteration, related to depersonalization and view of self B) Self-care deficit, related to mechanical trance-like state or aimless wandering C) Altered thought processes, related to memory loss and repressed trauma D) Ineffective individual coping, related to travel away from home
An obese patient states, "My goal is to reduce my weight from 280 pounds to 230 pounds in the first 6 months." The nurse should respond with which statement?
a. "That is a realistic goal for your weight-reduction program." b. "Because most weight loss occurs in the first 6 months, you should aim for 200 pounds." c. "Weight loss of more than 20 pounds in 6 months could be dangerous." d. "Safe and maintainable weight loss should be about 10% of your body weight in 6 months."
The nurse is critiquing a research study that used an experimental design. How can the nurse determine if the study's results are able to infer causality?
a. The relationship between independent and dependent variables must be reciprocal. b. The relationship between independent and dependent variables must not be explainable by any other variable. c. Both independent and dependent variables should be characterized by reactive effects. d. Both independent and dependent variables should change as a result of the treatment.
The home health nurse is visiting the home of a client who is 18 weeks pregnant with twins. Which nursing action is most important?
1. Assess the client's blood pressure in the upper right arm. 2. Collect a cervicovaginal fetal fibronectin (fFN) specimen. 3. Teach the client about foods that are good sources of protein. 4. Determine whether the pregnancy is a result of infertility treatment.