A child has been referred to a pediatric endocrinologist and has begun treatment with octreotide acetate. What nursing diagnosis should be noted in the child's plan of nursing care?
A) Delayed growth and development
B) Excess fluid volume
C) Risk for deficient fluid volume
D) Altered growth and development
D
Feedback:
Acromegaly is the major clinical indication for the use octreotide. In this condition, growth is excessive, not delayed. Fluid volume is not directly affected.
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The nurse is assisting the graduate nurse in completing a plan of care for a newly admitted client. The client has a history of congestive heart failure and was admitted with shortness of breath
Upon admission the client stated that she did not have enough money to purchase her medications. Which of the following nursing diagnoses will be of the greatest initial importance when planning care? A) Activity intolerance related to shortness of breath B) Fatigue related to shortness of breath C) Ineffective management of therapeutic regime related to inability to purchase medications D) Fluid volume overload related to shortness of breath
he nurse is collecting the health history of a patient hospitalized for possible infective endocarditis. Which findings would the nurse evaluate as supporting this presumptive diagnosis?
1. The patient reports having rheumatic heart disease as a child. 2. The patient has asthma. 3. The patient had a routine screening colonoscopy 1 month ago. 4. The patient is maintained on hemodialysis. 5. The patient has developed osteoarthritis over the last 2 years.
The parent of a 3-year-old child expresses concern to you regarding the child's height and weight gain. The average preschooler gains about how much height and weight in an average year?
1. 1.4 to 2.3 kg (3 to 5 pounds) and about 25 to 50 mm (1 to 2 inches) 2. 10 pounds (4.5 kg) and about 5 inches (12.5 cm) 3. 2 kg (4.5 lb) and 2-3.5 inches (51-89 mm) 4. 15 pounds (6.8 kg) and about 4 inches (10 cm)
Knowing when to have the entire team participate in the decision-making process or when to have only the team leader make the decisions depends on the situation and the desired outcomes. The autocratic process is used in which of the following situations?
a. The task and the outcome are relatively simple and defined b. It is unlikely that the group will reach a consensus. c. A decision has to be discussed thoroughly. d. A number of options need to be considered.