After reviewing the hypertensive client's chart and history, the nurse discovers the client has ongoing peripheral edema, as well as difficulty breathing and a cough following ambulation
The nurse chooses which of the following priority nursing diagnosis? 1. Impaired Tissue Perfusion
2. Imbalance Nutrition
3. Fatigue
4. Risk of Noncompliance
Impaired Tissue Perfusion
Rationale: The client with difficulty breathing and a cough following exercise, as well as ongoing peripheral edema, has impaired tissue perfusion related to resistance to blood flow. Imbalanced nutrition, fatigue, and risk of noncompliance may all be issues, but are not directly related to the presenting symptoms and would not carry as high of priority as impaired tissue perfusion.
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A nurse who provides care on an acute medicine unit has frequently recommended the use of nicotine replacement gum for patients who express a willingness to quit smoking during their admission or following their discharge
For which of the following patients would nicotine gum be contraindicated? A) A patient who received treatment for kidney failure due to an overdose of acetaminophen B) A patient whose pulmonary embolism was treated with a heparin infusion C) A patient with a history of angina who experienced a non-ST wave myocardial infarction D) A patient whose stage III pressure ulcer required intravenous antibiotics and a vacuum dressing
Which of the following factors may affect a patient's risk for heart disease?
1) Age 2) Gender 3) Ethnicity 4) All of the above
A client with bipolar disorder having experienced a depressive episode is prescribed lamotrigine. After teaching the client about this medication, the nurse determines that the teaching was successful when the client states which of the following?
A) "I need to notify my physician if I develop a skin rash." B) "I need to have my blood tested about once a month." C) "I have to watch how much salt I use every day." D) "This drug can affect my liver function."
The nurse employed in a home care agency is assigned a recently widowed client. When the nurse arrives at the client's home, the ordinarily immaculate house is in chaos and the client is disheveled, with the odor of alcohol on his breath. Which statement by the nurse would be therapeutic?
A. "I can see that this isn't a good time to visit." B. "You seem to be having a very difficult time." C. "Do you think your wife would want you to behave like this?" D. "What are you doing? How much are you drinking, and how long has this been going on?"