A client comes to the clinic complaining of weakness and drowsiness. He states, "I just get so tired sometimes that I can't do what I want to do." The client is receiving digoxin as part of the treatment for heart failure
Which nursing diagnosis would the nurse most likely identify?
A) Risk for Injury
B) Activity Intolerance
C) Decreased Cardiac Output
D) Imbalanced Nutrition: Less Than Body Requirements
Ans: B
Feedback:
Based on the client's statement and complaints, the nurse would most likely identify a nursing diagnosis of Activity Intolerance. Risk for Injury might be appropriate if the client complained of dizziness or if his complaints affected his ambulation. There is no evidence to support a nursing diagnosis of Decreased Cardiac Output or Imbalanced Nutrition.
You might also like to view...
The nurse is caring for a patient in stage 2 of general anesthesia. What is the care priority for this patient?
A) Rub the patient's back. B) Monitor vital signs. C) Provide eye care. D) Reposition the patient.
The home care nurse is teaching the family of an older adult patient methods to enhance safety when using the stairs. Which statement by the family member indicates appropriate understanding of the information presented?
1) "We will pick up the throw rugs that are in the hallway upstairs." 2) "We will clearly mark the first and last step of the stairs." 3) "We will make sure that there is a nightlight in the hallway and in the bathroom." 4) "We will make sure that the kitchen chairs are sturdy."
The nurse would anticipate an alteration in drug excretion in clients with which conditions?
1. Kidney disease 2. Heart disease 3. Diarrhea 4. Asthma 5. Alzheimer disease
The risk management nurse is reviewing labor and delivery statistics over the last 2 years in an effort to decrease costs of maternity care. What finding contributes to increased healthcare costs in clients undergoing cesarean birth by request?
1. Prolonged anemia, requiring blood transfusions every few months 2. Increased abnormal placenta implantation in subsequent pregnancies 3. Decreased use of general anesthesia with greater use of epidural anesthesia 4. Coordination of career projects of both partners leading to increased income