A teenage client has been having problems with peer support, school performance, and parental expectations, all of which contributed to an eating disorder
After gathering this assessment data, the nurse formulates the diagnosis Activity Intolerance related to weakness. What should the nurse realize after evaluating this diagnosis?
1. The data collected would support the diagnosis.
2. The diagnosis is directly related to the data presented.
3. The nursing diagnosis is not relevant to the data.
4. The data are not sufficient enough to support this diagnosis.
Correct Answer: 4
Rationale 1: Perhaps this diagnosis is appropriate for this client, but there are not enough data presented to know that for sure.
Rationale 2: Once data are complete, the diagnosis and information need to be directly related to each other.
Rationale 3: Once data are complete, the diagnosis and information need to be relevant to each other.
Rationale 4: An incomplete database influences all steps of the nursing process and care plan. The nurse must complete the assessment before formulating a diagnosis about weakness and fatigue. Perhaps this diagnosis is appropriate for this client, but there are not enough data presented to know that for sure.
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The patient has been taking clonidine and is now being changed to another antihypertensive drug. How will the nurse instruct the patient regarding discontinuing the clonidine?
A) "Check your blood pressure and pulse every 2 to 4 hours." B) "Inform your family the drug is being changed." C) "Reduce clonidine gradually over 2 to 4 days." D) "Keep an over-the-counter analgesic available to treat headaches."
The nurse is teaching a group of family members who have relatives living with them who are experiencing neurotransmitter difficulties. What information should the nurse include about the role of transmitters?
1. Neurotransmitters carry or block messages between nerves. 2. Neurotransmitters are fluids that protect the brain. 3. Neurotransmitters enter the bloodstream. 4. Neurotransmitters act once and are then absorbed and excreted.
Turnover of qualified staff is disruptive to the care community in which the nurse works. In 2003, the estimated financial cost of replacing a medical-surgical nurse was approximately ____
a. $1,000 to $9,000 b. $10,000 to $40,000 c. $50,000 to $80,000 d. $90,000 to $150,000
Which nursing interventions are appropriate when caring for the newborn undergoing phototherapy? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Cover the newborn's eyes at all times, even when not under the lights. 2. Close the newborn's eyelids before applying eye patches. 3. Inspect the eyes each shift for conjunctivitis. 4. Keep the baby swaddled in a blanket to prevent heat loss. 5. Reposition the baby every 2 hours.