The patient weighs 450 lbs (204.5 kg) and reports shortness of breath with any exertion. The health care provider has recommended beginning an exercise program
The patient states that she can hardly get out of bed and just cannot do anything around the house. Which nursing diagnosis will the nurse add to the care plan?
a. Activity intolerance related to excessive weight
b. Impaired physical mobility related to bed rest
c. Imbalanced nutrition: less than body requirements
d. Impaired gas exchange related to shortness of breath
ANS: A
In this case, activity intolerance is related to the patient's excessive weight. The patient is not on bed rest although claims that it is difficult to get out of bed, making this diagnosis inappropriate. Shortness of breath is a symptom, not a cause, of Impaired gas exchange, making this nursing diagnosis ineffective. The patient certainly has an imbalance of nutrition, but it is more than body requirements (obesity).
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A physician has explained to a patient that he has developed diabetic neuropathy in his right foot. Later that day, the patient asks the nurse what causes diabetic neuropathy. What would be the nurse's best response?
A) "Research has shown that diabetic neuropathy is caused by fluctuations in blood sugar that have gone on for years." B) "The cause is not known for sure but it is thought to have something to do with ketoacidosis." C) "The cause is not known for sure but it is thought to involve elevated blood glucose levels over a period of years." D) "Research has shown that diabetic neuropathy is caused by a combination of elevated glucose levels and elevated ketone levels."
Asking a patient about her or his occupation is important to assist in identifying:
A) Insurance coverage. B) Possible health risks. C) Genetic mutations. D) Developmental tasks.
Order: Mefoxin (cefoxitin sodium) 1 g IVPB q.6h. The manufacturer recommends reconstituting the 1g vial with 10 mL of sterile water, adding it to 100 mL of D5W, and infusing the medication over 60 minutes
At how many drops per minute will you set the IV to infuse if the drop factor is 15 gtt/mL? 1. 250 gtt/min. 2. 28 gtt/min. 3. 10 gtt/min. 4. 25 gtt/min.
Which statement by the nurse manager indicates understanding of Magnet status?
a. "Hospitals are granted Magnet status by the National League of Nursing.". b. "The American Nurses Association grants Magnet status.". c. "Hospitals are granted Magnet status by the American Nurses Credentialing Cen-ter.". d. "The National Council of State Boards of Nursing grants Magnet status.".