A nurse is caring for a patient who is taking rivastigmine. The patient's nursing care plan will prioritize which of the following nursing diagnoses?
A) Imbalanced Nutrition: More Than Body Requirements related to increased appetite and secondary to the drug therapy
B) Imbalanced Nutrition: Less Than Body Requirements related to decreased desire to eat secondary to nausea and vomiting from drug therapy
C) Risk for Fluid and Electrolyte Imbalance and Hyperglycemia related to adverse effects of medication
D) Risk for Injury related to extrapyramidal symptoms
B
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A nurse works on an oncology unit and delegates personal hygiene to an unlicensed assistive personnel (UAP). What action by the UAP requires intervention from the nurse?
a. Allowing a very tired client to skip oral hygiene and sleep b. Assisting clients with washing the perianal area every 12 hours c. Helping the client use a soft-bristled toothbrush for oral care d. Reminding the client to rinse the mouth with water or saline
For what health problem would a patient of African American heritage most likely have genetic carrier testing?
A) Meckel's diverticulum B) Sickle cell anemia C) Huntington disease D) Rubella
A patient was admitted to the critical care unit with acute respiratory failure
The patient has been on a ventilator for 3 days and is being considered for weaning. The ventilator high-pressure alarm keeps going off. When you enter the room, the ventilator inoperative alarm sounds. What is the primary action the nurse would take? a. Troubleshoot the ventilator until the problem is found. b. Take the patient off the ventilator and manually ventilate her. c. Call the respiratory therapist for help. d. Silence the ventilator alarms until the problem is resolved.
The nurse anticipates that a patient with multiple fractured ribs is at risk for which condition?
1. Decreased lung expansion 2. Increased respiratory rate 3. Prolonged expiratory phase 4. Low arterial carbon dioxide level