A nurse is caring for a patient experiencing respiratory distress. The physician places an endotracheal tube. The most appropriate nursing diagnosis for this patient is:
a. ineffective coping.
b. risk for infection.
c. altered nutrition: less than body requirements.
d. impaired verbal communication.
D
Because of the placement of an endotracheal tube, the patient is unable to speak. The nursing diagnosis of impaired verbal communication is most appropriate.
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A patient is admitted to the unit with central spasticity after a terrible motor vehicle accident. The doctor places an intrathecal delivery pump. What medication can be administered via this route to treat the central spasticity?
A) Baclofen (Lioresal) B) Cyclobenzaprine (Flexeril) C) Dantrolene (Dantrium) D) Carisoprodol (Soma)
The nurse is assessing a 78-year-old patient. Which finding would be of concern to the nurse because it is not a normal finding in an aging person?
a. Patient reports difficulty telling colors, especially pastels. b. Patient reports blurred vision. c. Patient uses large amounts of sugar and salt to make food taste good. d. Patient has a decreased sense of smell.
A nurse has had, on several occasions, the opportunity to share personal prescriptions with family members when they were in need of pain medication or antibiotics. Which set of rules should govern this moral decision?
A) Ethics B) Administrative law C) Common law D) Civil law
What might be appropriate nursing goals for working with a multiproblem family? Select all that apply
A. Assure the family you will continue to be there to help them with their problems. B. Describe how one person's thoughts and behaviors affect another family member. C. Express the nurse's own feelings about the family and its situation. D. Give feedback on emotions and behavior and distinguish between them. E. Role-model circular communication with adequate ambiguity and vagueness. F. Work towards small but achievable success in small areas.