Which of the following is not a type of nursing diagnosis?
a. collaborative prob-lems c. actual problems
b. wellness conditions d. medical diagnosis
D
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A patient with alcoholism and chronic liver failure is admitted to the medical unit. He is confused and has an elevated serum ammonia level. What laxative will the nurse administer to lower the serum ammonia level?
A) Docusate sodium (Colace) B) Polyethylene glycol–electrolyte solution (NuLYTELY) C) Lactulose (Cephulac) D) Sorbitol
The nurse is evaluating the plan of care and notes that none of the goals have been met for the client with impaired gas exchange. What should the nurse do next in this situation?
1. Report the lack of achievement of the goals to the healthcare provider. 2. Review the data and modify the plan. 3. Reformulate the nursing diagnosis to a more realistic one. 4. Request a consult for the client to be seen by a pulmonologist.
What important, immediate postoperative care practice should the nurse remember when caring for a woman who has had a mastectomy?
a. The blood pressure (BP) cuff should not be applied to the affected arm. b. Venipuncture for blood work should be performed on the affected arm. c. The affected arm should be used for intravenous (IV) therapy. d. The affected arm should be held down close to the woman's side.
Which of the following statements would indicate that teaching about naltrexone (ReVia) has been effective?
a. "I'll get sick if I use heroin while taking this medication." b. "This medication will block the effects of any opioid substance I take." c. "If I use opioids while taking naltrexone, I'll become extremely ill." d. "Using naltrexone may make me dizzy."