A patient has been admitted to the detoxification unit after binge drinking. Even though the patient is not currently intoxicated, he is combative and exhibits altered thought processes. Which nursing diagnosis would be the priority?
A) Risk for Injury related to effects of alcohol abuse
B) Risk for Self-Mutilation related to alcohol withdrawal and altered thought processes
C) Risk for Other-Directed Violence related to alcohol withdrawal
D) Risk for Delayed Development related to chronic effects of alcohol intoxication
C
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The nurse caring for a patient with a surgical wound promotes healing by:
a. offering fluids every 4 hours. b. encouraging the consumption of large meals. c. encouraging up to 1000 mL of daily fluid intake. d. encouraging the consumption of small frequent meals.
A nurse is teaching women breast self-examination (BSE). When designing a teaching program, the nurse is aware that the biggest barrier to women doing BSE is
a. better screening tools like mammograms. b. discomfort and pain when doing the exam. c. lack of confidence when performing the exam. d. realization that breast cancer is not a leading cause of cancer death in women.
The nurse is caring for an elderly client with influenza. Which of the following lab results does the nurse determine is consistent with influenza?
1. Increased white blood cell count 2. Clear chest x-ray 3. Increased BUN 4. Decreased sodium level
An older adult with restless legs syndrome (RLS) has sought advice from the nurse in an effort to ease the problem. Which of the following statements should the nurse include in the plan?
A) "There are new, over-the-counter medications that can probably resolve your RLS." B) "RLS can be a sign of a much more serious health problem, so I'd encourage you to visit your primary care provider." C) "I see that your iron level is low, let's add foods high in iron to your diet." D) "Even though it's certainly unpleasant, RLS is a normal part of the aging process."