A patient has a maladaptive response to eating regulation. Findings include the following: T, 96
6° F; BP, 68/40; P, 40; R, 20; poor skin turgor; admits to restricting intake to 350 calories daily; and diagnostic testing reveals serum potassium of 2.9 mEq/L and urine specific gravity of 1.028 . What is the highest priority nursing diagnosis for this patient? a. Imbalanced nutrition, less than body requirements
b. Disturbed body image
c. Deficient fluid volume
d. Powerlessness
C
The patient is malnourished and is experiencing dehydration, as evidenced by the low BP, poor skin turgor, and high urine specific gravity. For this reason, highest priority should be placed on restoring circulating volume, followed by increasing caloric intake. When the primary physiological needs are being met (according to Maslow), secondary needs such as body image can be addressed, and powerlessness can be explored if it applies.
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Which drug reduces the production of aqueous humor to the greatest degree?
a. Acetazolamide (Diamox) b. Pilocarpine (Isopto) c. Dipivefrin (AK-Pro) d. Travoprost (Travatan)
For which occurrences should you teach a patient taking drugs for PUD or GERD to notify the prescriber? (select all that apply)
a. Difficulty swallowing b. Persistent belching c. Vomiting bright red blood d. Brown formed stools e. Coffee ground appearing emesis f. Bright yellow urine g. Dry mouth h. Fissured tongue
The expression "family dynamics" might appear in several contexts. In terms of maternity nursing, family dynamics:
1. are the same as family functions. 2. remain constant in stable families. 3. describe the interactions and communications among family members. 4. are more important in dysfunctional families.
A nursing instructor is teaching about donepezil (Aricept). A student asks, "How does this work? Will this cure Alzheimer's disease (AD)?" Which is the appropriate instructor reply?
A. "This medication delays the destruction of acetylcholine, a chemical in the brain necessary for memory processes. Although most effective in the early stages, it serves to delay, but not stop, the progression of the AD." B. "This medication encourages production of acetylcholine, a chemical in the brain necessary for memory processes. It delays the progression of the disease." C. "This medication delays the destruction of dopamine, a chemical in the brain necessary for memory processes. Although most effective in the early stages, it serves to delay, but not stop, the progression of the AD." D. "This medication encourages production of dopamine, a chemical in the brain necessary for memory processes. It delays the progression of the disease."