The nurse is planning care for a client with hypothyroidism. Which should the nurse recognize is a priority nursing diagnosis?

A. Risk for injury related to confusion and lethargy.
B. Altered nutrition, less than body requirements.
C. Risk for constipation related to metabolic imbalance.
D. Activity intolerance related to fatigue.


Answer: D

Nursing

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A nursing manager wants to increase the staff's attention to patients' spirituality. Which action by a nurse would best demonstrate this concept?

A. Asked about the patient's religion B. Assessed the patient's meaning of life C. Consulted a chaplain for a patient case D. Inquired about religious rituals in health

Nursing

A nurse is participating in the application of a fiberglass cast to a client's hand. Which of the following procedures must the nurse avoid when applying premoistened rolls of fiberglass?

A) Wash the client's skin with soap and dry it well. B) Cover the skin with a protective padding. C) Administer a pain-relief medication. D) Open all the foil packets at once.

Nursing

Guidelines for using inhaled medications for older clients include which of the following

A) spacers are not recommended for use with inhaled medications. B) metered-dose inhalers (MDI) are more easily used than nebulizer treatments for clients with coordination or cognitive impairments. C) a client should be taught to rinse the mouth with water and expectorate after using inhaled beta2-agonist medications. D) clients who use inhaled corticosteroid medications are at increased risk for oral candidiasis.

Nursing

When the home care nurse visits a female client age 78 years who is recently widowed, the nurse finds that the home is cluttered with trash. The client appears sad and disheveled. The nurse should assess the client for symptoms of:

A) fatigue. B) presbyopia. C) drug overdose. D) depression.

Nursing