A patient is recovering from colostomy surgery and states, "I guess I'll never be able to have sex again...who would want me?" What nursing diagnosis is most important for this patient?
a. Sexual dysfunction
b. Ineffective sexuality pattern
c. Knowledge deficit
d. Ineffective coping
ANS: B
Ineffective sexuality patterns refer to a patient who expresses concern about his/her own sexuality. This patient is concerned about the effect of this surgery on his/her attractiveness and desirability. Sexual dysfunction relates more to the physical problems. The patient may have a knowledge deficit or ineffective coping, but these are not apparent from the question.
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Which assessment made by the nurse is a major sign of renal changes related to age?
a. Hematuria b. Nocturia c. Urgency incontinence d. Renal calculi
A patient states, "I've been sick for days, and all the doctor does is take a chest x-ray, hand me prescriptions, and tell me I have bronchitis." The nurse realizes that this patient's treatment
1. is appropriate for the diagnosis. 2. should include more diagnostic tests. 3. is inadequate for the diagnosis of bronchitis. 4. should include hospitalization.
You are a nurse manager supervising an excellent team of nurses, whose members you want to keep with you as long as possible
You know that data has shown that nurses tend to stay in their positions longer if they are challenged and have opportunities to enhance their professional growth. Which of the following strategies will not necessarily challenge these nurses and enhance their professional growth? a. educational opportunities c. increased benefits b. cross training d. mentorship
A client's physician has prescribed paroxetine (Paxil) for the treatment of her depression. Which of the following teaching points should the nurse include in the client education related to this treatment?
A) "If you don't feel noticeably better within three weeks, increase your dose by 50 %." B) "Make sure that you don't change the quantity or timing of your medication without first consulting your doctor." C) "If you forget to take a dose one day, take a double dose the next day and be sure to let your doctor know." D) "The advantage of Paxil is that it will normally relieve depression in a few weeks and it has no side effects."