A client admitted with the diagnosis of cardiomyopathy becomes short of breath with ambulation and eating, and fatigued with routine care activities
Which nursing diagnosis does the nurse include in the client's plan of care?
A) Imbalanced Nutrition: Less than Body Requirements
B) Deficient Knowledge
C) Activity Intolerance
D) Self-Care Deficit
Answer: C
The client is short of breath with ambulation and eating, and fatigued with routine care activities. The nursing diagnosis of Activity Intolerance is appropriate for the client at this time. There is not enough information to determine if the client has a knowledge deficit. Shortness of breath with meals does not indicate that the client has Imbalanced Nutrition. Fatigue with routine care activities does not necessarily mean that the client has a Self-Care Deficit.
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Multiple-choice questions can evaluate the student's knowledge of the facts, as well as:
1. Her ability to apply the knowledge to the clinical care scenario. 2. Her ability to select professional options. 3. Her ability to determine stem and answer. 4. Her ability to avoid distractors.
The clinic nurse takes a history from Jane, a 15-year-old clinic patient whose parents are concerned about anorexia nervosa. Symptoms that would confirm their suspicions include: Select all answers that apply:
A) Dizziness B) Constipation C) The presence of pubic hair development D) Pulse of 56 beats per minute
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a. Call the child by name to verify the patient's identity b. Verify the patient's identity with the hospital identification band for child's birth date c. Inform the parent about the side effects of the drug d. Ask another nurse to verify the child's identity
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1. Check the client's potassium level from the morning labs. 2. Tell the client that the infusion will burn. 3. Place the client in a low Fowler's position. 4. Ask the client why the medication is ordered.