A student nurse caring for a patient with depression reads in the patient's medical record, "This patient shows vegetative signs of depression." Which nursing diagnoses most clearly relate to the vegetative signs? Select all that apply
a. Imbalanced nutrition: less than body requirements
b. Chronic low self-esteem
c. Sexual dysfunction
d. Self-care deficit
e. Powerlessness
f. Insomnia
ANS: A, C, D, F
Vegetative signs of depression are alterations in the body processes necessary to support life and growth, such as eating, sleeping, elimination, and sexual activity. These diagnoses are more closely related to vegetative signs than to diagnoses associated with feelings about self.
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To promote deep breathing, coughing, and turning by a postoperative patient on the first postoperative day, the best action by the nurse would be to:
a. Teach the patient the purpose of respiratory care and ambulation b. Provide constant reinforcement for accomplishing these activities c. Assess the patient's pain level before these activities d. Emphasize the complications of immobility and poor cough effort
A patient has been prescribed rasagiline (Azilect). Which foods must the nurse teach the patient to avoid? (Select all that apply.)
a. Green leafy vegetables b. Aged cheeses c. Sour cream d. Fresh apples and pears e. Soy sauce
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1. Phenytoin-like agents 2. Benzodiazepines 3. Barbiturates 4. Hydantoins
Polly Smith is a district nurse working in an agricultural area in the Midwest. Most people within Polly's district obtain water from individual wells located on their property
While Polly is analyzing potential problems, it is important that she understand that waterborne diseases include all of the following except: 1. Cryptosporidiosis. 2. Giardia. 3. Hepatitis A. 4. Malaria. 5. Viral gastroenteritis.