Which of the following is not a nursing diagnosis?
a. Amputation c. Ineffective Breathing Pattern
b. Body Image Distur-bance d. Activity Intolerance
A
Errors in writing a nursing diagnosis include the use of a symptom as the diagnosis or repeating the diagnostic label as the etiology. Another error is the misuse of a medical diagnosis that is not amenable to treatment by nurses.
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A 66-year-old woman has a complex medical history that includes poorly-controlled type 1 diabetes, renal failure as a result of diabetic nephropathy and chronic heart failure (CHF)
Her care provider has recently added spironolactone (Aldactone) to the woman's medication regimen. The nurse should consequently assess for signs and symptoms of A) atrial fibrillation. B) thrombophlebitis. C) hyperkalemia. D) leukocytosis.
World War I contributed to the advancement of health care by:
a. increasing the number of private care hospitals and decreasing the role of public health services. b. employing a large number of civilians to provide care to returning soldiers through the Red Cross. c. introducing specialists in nursing such as nurse anesthetists. d. increasing the number of community health nurses.
The nurse is caring for a client who has been given one year to live. Which of the following is a useful nursing intervention to treat the anxiety of the client and family associated with receiving a terminal diagnosis?
1. Explore the client and family's history with other stressful life events and how successful coping was at that time 2. Teach the family that while talking with the client about death and dying is permissible, they should not allow the client to dwell on death 3. Supply information about the client's disease process and the expected trajectory of death only on a need to know basis 4. Encourage early pharmaceutical intervention with anti-anxiety and sedative medications
The patient has an order for a calcium channel blocker antihypertensive medication bid. Before administering this medication, the nurse will
1. Check the patient's pulse to prevent tachycardia. 2. Check the patient's blood pressure to prevent hypotension. 3. Check the patient's blood levels to prevent toxicity. 4. Check the patient's potassium levels to prevent hyperkalemia.