Which of the following nursing diagnoses would be appropriate for a multiple trauma patient diagnosed with cardiac tamponade?
1. decreased cardiac output
2. ineffective airway clearance
3. ineffective breathing pattern
4. fluid volume overload
1
Rationale: The patient with cardiac tamponade will have decreased cardiac output related to cardiac injury. There is no evidence to suggest the patient is unable to clear the airway or has an ineffective breathing pattern. With cardiac tamponade, the patient might experience fluid volume deficit because of the fluid shift into the pericardial space.
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Complications of HELLP (hemolysis, elevated liver enzymes, and low platelet count) syndrome include
a. abruptio placentae, liver rupture, and pulmonary edema. b. neutropenia, liver hemorrhage, and pulmonary edema. c. disseminated intravascular coagulation (DIC), puerperal conditions, and chronic fatigue. d. pulmonary edema, DIC, and cor pulmonale.
A 15-year-old female client is noted to often sit alone in the activity room of the facility while watching television. She often begins to join in activities on the unit but then retreats back to her room
Which intervention is most appropriate in this situation? a. Encourage her to join in on a group activity and actively participate in the activity with her until she feels more comfortable on her own. b. Keep encouraging her to participate in the group activity. c. Offer her rewards, such as extended television privileges, for joining in a group activity. d. Offer her support as she tries to become more involved in activities.
Which of the following statements best describes what has happened to air quality since the United States outlawed the use of chlorofluorocarbons, halons, and carbon tetrachloride?
a. Air quality immediately improved. b. Air quality is slowly improving. c. Little change occurred because these chemicals remain in the atmosphere. d. Nothing has happened because other countries worldwide continue to extensively use these products.
Many adolescents decide to follow a vegetarian diet during their teen years. The nurse can advise the adolescent and his or her parents that
a. This diet will not meet the nutritional requirements of growing teens. b. A vegetarian diet is healthy for this population. c. An adolescent on a vegetarian diet is less likely to eat high-fat or low-nutrient foods. d. A vegetarian diet requires little extra meal planning.