You are caring for a patient who is receiving parenteral nutrition. When writing this patient's plan of care, what would be a major nursing diagnosis?
A) Anxiety related to catheter securement
B) Nutrition, more than body requirements
C) Fluid overload related to parenteral nutrition
D) Chronic pain related to catheter placement
Ans: A
Feedback: Based on the assessment data, the major nursing diagnoses may include the following:
Imbalanced nutrition, less than body requirements, related to inadequate oral intake of nutrients; Risk for infection related to contamination of the central catheter site or infusion line; Risk for imbalanced fluid volume related to altered infusion rate; and Anxiety related to catheter care and securement. Fluid overload would not be a nursing diagnosis for this patient and neither would chronic pain.
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Which of the following patients would the nurse determine has the highest risk of cumulative toxicity if prescribed colchicine?
A) A pregnant patient B) A patient with hepatic disease C) A patient undergoing radiation therapy D) A patient with myelosuppression
The Quality and Safety Education in Nursing (QSEN) project developed competencies based on work completed by:
a. HRSA. b. TIGER. c. IOM. d. AMIA 10x10.
Assessment of a woman's nutritional status includes a diet history, medication regimen, physical exam, and relevant laboratory tests. A maternity nurse making such an assessment should be aware that:
1. oral contraceptive use may interfere with the absorption of iron. 2. illnesses that created nutritional deficits such as PKU may require nutritional care before conception. 3. the woman's socioeconomic status and educational level are not relevant to her examination; they belong to the social worker, if to anybody. 4. the only nutrition-related laboratory testing needed by most pregnant women is for diabetes.
A patient practices traditional methods of HEALTH maintenance. To what is this patient referring?
1. Ethnocultural heritage practices that safeguard HEALTH 2. How a population safeguards its health 3. What someone traditionally does to maintain his or her HEALTH 4. Usual and accepted practices of health maintenance