What is the priority nursing diagnosis for the client who has Sjögren's syndrome?
A. Fatigue related to anemia
B. Disturbed Body Image related to excessive weight gain
C. Risk for Infection related to dryness of mucous membranes
D. Ineffective Breathing Pattern related to progressive pulmonary fibrosis
C
The major symptoms associated with Sjögren's syndrome are dry eyes because of insufficient tear production and dry mucous membranes of the nose, mouth, and vaginal tissues. The increased dryness reduces the tissues' natural defenses against infection.
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A patient suffered a brain stem injury in an assault and is currently receiving controlled mandatory ventilation (CMV) in the intensive care unit
When conducting the scheduled assessments of this patient, the nurse should be aware of which of the following characteristics of CMV? A) The patient breathes spontaneously, but a set tidal volume is delivered. B) Oxygen supplementation is constantly adjusted by the ventilator in response to the patient's respiratory rate. C) The patient's tidal volume is determined spontaneously, but the respiratory rate is controlled by CMV. D) The rate and tidal volume are set, and the patient does not breathe spontaneously.
Determining key participants is appropriate during which step of the moral decision-making process?
a. Data gathering c. Strategy exploration b. Problem articulation d. Strategy implementation
A nurse has been hired by the PHD to perform family planning services. The position was formed as the result of categorical funds obtained from a federal grant. This means that the nurse will need to
A. Practice according to the guidelines of the federal government. B. Track time spent in each function to ensure that it meets the grants requirements. C. Invoice the grant at the end of the position. D. Apply for approval from the state and local governments.
Suggestions for clients who have recently had a gastric bypass include which of the following?
1. Eat small amounts frequently. 2. Drink liquids with every feeding to wash the food down. 3. Follow a high-fiber diet. 4. Use drinking straws.