What is the purpose of formulating nursing diagnoses?
A. To organize data in a framework
B. To validate subjective patient data
C. To develop an individualized care plan
D. To understand the patient's educational needs
Answer: C. To develop an individualized care plan
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The nurse is teaching a patient who has completed detoxification for alcohol abuse who will be discharged home with a prescription for disulfiram (Antabuse). Which statement by the patient indicates understanding of the teaching?
a. "Even topical products containing alcohol can have serious adverse effects while I am taking this drug." b. "If I experience drowsiness or skin rash, I should discontinue this drug immediately." c. "It is safe to take a product containing alcohol one week after the last dose of disulfiram." d. "This drug acts by blocking the pleasurable effects of alcohol."
A patient with insomnia also has liver disease. What precaution does the nurse include in this patient's care plan?
a. Monitor carefully for increased side effects and adverse effects. b. Teach the patient that a higher dose is needed for effective action. c. Check the patient's electrolytes before administering the drug. d. Assess the patient's mental status every four hours.
The nursing supervisor overhears a novice nurse manager discussing conflict. Which statement indicates the nursing supervisor might need to review conflict management with the nurse manager?
1. "Since all conflicts cause friction and are bad for morale, I need to interject whenever conflict arises." 2. "I need to make sure everyone in my department understands I will not tolerate unresolved conflict." 2. "I know conflict can occur personally or with others, so I need to make sure to learn how to best handle each." 4. "I think the anger that begins with people in conflict would be motivating in some situations."
What is a priority nursing diagnosis for the client receiving anticholinergic drugs?
1. Injury, Risk for related to CNS changes related to medications 2. Knowledge, Deficient related to new medications 3. Gas Exchange, Impaired related to respiratory secretions 4. Urinary Retention related to loss of bladder tone