The medical and legal records of a 33-year-old prison inmate document a long history of intermittent explosive impulse control disorder. In the care of this inmate, which of the following nursing diagnoses is most likely?
A) Chronic Low Self-Esteem
B) Ineffective Health Maintenance
C) Hopelessness
D) Risk for Violence: Other Directed
Ans: D
A client with an intermittent explosive impulse control disorder is likely to pose a significant risk of harming others. Hopelessness, low self-esteem, and ineffective health maintenance are all plausible diagnoses, but the risk for violence is inherent in this individual's history.
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The nurse is working with a client who is beginning weaning from a mechanical ventilator. The nurse explains to the family that which lab result would indicate a need to alter the wean settings?
1. pH is 7.30. 2. PCO2 is 30. 3. O2 is 75. 4. HCO3 is 25.
A preterm infant who is being fed commercial formula by gavage has had an increase in gastric residuals, abdominal distention, and apneic episodes. Which is the most appropriate nursing action?
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A new RN staff member asks you about the difference between QA and QI. You explain the difference by giving an example of QI
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Which type of medication would be most effective in relieving pain due to spinal cord edema?
a. neuroleptics c. tricyclic antidepres-sants b. corticosteroids d. anticonvulsants