A client exhibits signs of stress while awaiting results of lab work, and a nursing diagnosis of Anxiety secondary to knowledge deficit is made. Which type of nursing diagnosis does this represent?
a. actual c. risk
b. ongoing d. wellness
A
In an actual diagnosis, such as Self-care deficit, feeding R/T loss of function of right arm, the problem exists and there are signs and symptoms of the problem present.
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A patient has an order to have peak and trough drug levels done with the third dose of tobramy-cin (Tobrex). Which of the following statements accurately describes the timing of peak and trough doses?
a. Blood will be drawn before administration and 20 to 30 minutes after the antibi-otic dose. b. A urine sample will be collected before administration and 20 to 30 minutes after the antibiotic dose. c. Blood will be drawn on the morning and the evening of the next scheduled dose. d. A 24-hour urine will be collected after the next scheduled dose.
What is the most appropriate intervention for an adolescent with a mild scoliosis?
a. Long-term monitoring b. Surgical intervention c. Bracing d. No follow-up
The nurse is preparing a client with an aortic aneurysm for surgery. The nurse notes that the client's systolic blood pressure has increased by 30 mm Hg compared with the reading 1 hour ago. What is the nurse's best action?
a. Measure abdominal girth. b. Auscultate the abdomen. c. Increase the IV infusion rate. d. Reassess the blood pressure.
The nurse is caring for a neonate on positive-pressure ventilation. The nurse monitors for which complications of positive-pressure ventilation? (Select all that apply.)
a. Pneumothorax b. Pneumomediastinum c. Respiratory distress syndrome d. Meconium aspiration syndrome e. Pulmonary interstitial emphysema