A 29-year-old pregnant patient is extremely upset about having to take medication for a pre-existing medical condition
She is consumed with fear that her baby will be born with a physical deformity or a congenital anomaly but knows that she has to take the medication. She talks constantly about this and is unable to sleep most nights. Which of the following is the most appropriate nursing diagnosis for this patient is?
A) Injury, Risk to the fetus related to adverse effects of maternal drug therapy
B) Injury, Risk to the patient related to failure to receive needed drug therapy
C) Anxiety related to perceived danger of drug therapy to fetus or infant
D) Noncompliance with Drug Therapy
C
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The nurse is caring for a couple who have just learned that their infant has a genetic disorder. Which of the following would be least appropriate for the nurse at this time?
A) Actively listen to the parents' concerns. B) Teach the parents about the child's medical needs. C) Provide time for the parents to ask questions. D) Offer suggestions for support services.
The nurse would assess the client with a history of TIAs for
a. ataxia and dysarthria. b. bouts of hypertension. c. nausea and vomiting. d. tingling in the extremities.
The nurse observes signs that a patient may be experiencing dysfunction related to the acoustic nerve (CN VIII). Which actions should the nurse take to minimize the patient's risk for injury?
Select all that apply. 1. identifying the patient's fall risk category 2. assessing the patient's gag reflex prior to offering food or liquids 3. assisting the patient with bedside sitting or toileting 4. assessing the patient's vision using a Snellen chart 5. placing a red "falls risk" bracelet on the patient's arm
The family members of a patient on the psychiatric unit ask to speak with the nurse. They report that the patient has visual hallucinations and want to understand the cause
What would be the most appropriate response from the nurse about common causes? A) Multiple sclerosis, alcohol withdrawal, and medication side effects B) Medication side effects, alcohol withdrawal, and Parkinson's disease C) Parkinson's disease, medication side effects, and amphetamine withdrawal D) Narcotic withdrawal, multiple sclerosis, and head injury