Which nursing diagnosis is common to clients diagnosed with bipolar disease?
1. Imbalanced Nutrition: More than Body Requirements
2. Risk for Self-Harm
3. Ineffective Airway Clearance
4. Activity Intolerance
2
Rationale 1: The problem is much more likely to be imbalanced nutrition, less than body requirements.
Rationale 2: The majority of clients with bipolar disorder are at risk for purposeful or unintentional self-harm.
Rationale 3: There is no evidence that the majority of clients diagnosed with bipolar disease have difficulty keeping their airways clear.
Rationale 4: In the manic phase, clients with bipolar disorder move all the time, so there is no activity intolerance. In the depressive stage they may be stationary, but not because they do not tolerate activity.
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An older patient with chronic obstructive pulmonary disease (COPD) develops a dysrhythmia. Which health problem should the nurse consider is occurring with this patient?
1. Anemia 2. Asthma 3. Cor pulmonale 4. Left ventricular hypertrophy
The patient has been started on a treatment regimen which includes the use of lithium. As part of the teaching plan regarding lithium, the patient should be instructed that he should avoid:
a. Becoming sleep-deprived b. Failing to exercise daily c. Failing to stay on his prescribed dietary regimen d. Becoming dehydrated
A nursing student asks a nurse working in the newborn nursery how vitamin K deficiency is treated in newborns. Which response by the nurse is correct?
a. "A newborn infant's intestinal flora will produce vitamin K." b. "If coagulation studies show a bleeding disorder, oral menadione is given." c. "Menadione is given intravenously shortly after delivery." d. "Phytonadione is given intramuscularly immediately after delivery."
In critiquing a comparative descriptive study design, which of the following would be cited as a deficit of a study? The:
a. instrument used in the study was created by the researcher specifically for the project. b. literature search was not long enough; it included only six references. c. researcher did not say what theory or conceptual model provided the foundation for the study. d. study used two groups that were not randomly assigned.