The nurse is caring for a 38-year-old African American patient with diabetes. The patient manages her diabetes with dietary control, takes oral contraceptives, and is a nonsmoker
Which characteristic(s) in this patient's history increase the patient's risk for coronary artery disease (CAD)? (Select all that apply.)
a. Age
b. Race
c. Diabetes
d. Nonsmoker status
e. Use of oral contraceptives
B, C, E
African Americans have an ethnic tendency to CAD. Taking birth control pills and diabetes are both risk factors for CAD. Older patients are at increased risk for CAD, and a nonsmoking status decreases the likelihood of developing CAD.
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A client with bipolar disorder who relapsed after discontinuing lithium has lost 5 pounds in the 4
days since hospitalization. The nursing diagnosis of "imbalanced nutrition: less than body requirements related to caloric intake insufficient to balance energy expenditure associated with hyperactivity" has been established. The short-term indicator that should be used to evaluate progress toward the desired outcome of "intake will be sufficient to maintain weight within normal range for height and age" is a. while in the acutely manic state, the client will drink 8 ounces of high-calorie, high-protein drink hourly throughout the day. b. the client will display consistently nonviolent behavior toward others on the unit within 1 week with the aid of medications and nursing interventions. c. the client will have competent medical assistance and legal protection when signing any document regarding personal matters during hospitalization. d. the client will consistently wear appropriate attire for age and sex within 1 week while on the psychiatric unit.
What information should the nurse coordinating an immunization program for health care workers and patients include?
A) Health care workers are at high risk for hepatitis B because of its airborne transmission. B) Immunization against hepatitis B involves a series of two injections given 6 months apart. C) The hepatitis B virus can't exist outside the body for more than a few minutes. D) Hepatitis B immunization should be given to neonates before they leave the hospital.
Through the open door of the patient's room, the nurse observes a male patient and his long-term partner in a romantic embrace. The nurse's priority intervention is directed toward
a. reinforcing for the staff the patient's inti-macy needs. b. explaining to the patient the challenges that his relationship poses for the staff. c. offering to discuss the barriers to intimacy that the patient and his partner face. d. quietly closing the door to address the pa-tient's right to privacy.
During an assessment, the nurse expects that the average daily urinary output for the adult client will be:
A. 500 to 1000 ml B. 750 to 1500 ml C. 1000 to 2400 ml D. 2000 to 3000 ml