A client tells the nurse about continually reliving a situation of being robbed and shot by a gunman. Which nursing diagnosis is most appropriate for this client?
A) Fear
B) Anxiety
C) Post-Trauma Syndrome
D) Ineffective Coping
Answer: C
The client is reliving a traumatic event and has nightmares of being shot. This information would support the diagnosis of Post-Trauma Syndrome. The other diagnoses might be appropriate; however, Post-Trauma Syndrome would be the priority diagnosis at this time.
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A patient with class-IV CHF has a medication regimen consisting of metoprolol (Lopressor), enalapril (Vasotec), and furosemide (Lasix)
In addition to regularly assessing the patient s heart rate, the nurse should prioritize assessment of the patient's A) intake and output. B) blood pressure. C) cognition. D) exercise tolerance.
Which of the following best describes the most common organization for receiving personal health care in the United States today?
a. A group of physicians all in a particular specialty group who share an office b. Community health center that includes educational and social services c. Fee for service by a physician in practice by himself or herself d. Managed care organization with capitated payments to providers, both professionals and organizations
The nurse is preparing a client for discharge who will be requiring physical therapy (PT) to rehabilitate after a total knee replacement. After reading the healthcare provider's order for PT, which would be the nurse's initial action?
A) Set up appointments according to the order with the hospital PT department. B) Call home health and schedule a therapist to visit the home for therapy. C) Discuss the various types of settings for therapy and have the client choose the venue. D) Teach the family the exercises needed for the client.
An adolescent client follows a vegan eating plan. Which food should the nurse remove from the recommended food list for this client?
a. Eggs b. Tofu c. Rice milk d. Peanut butter