The nurse is preparing a patient diagnosed with amyotrophic lateral sclerosis (ALS) for discharge. The nurse realizes that interventions for which nursing diagnosis should be priority for this patient?
1. Impaired Urinary Elimination related to spastic or flaccid bladder
2. Disturbed Thought Processes related to cognitive decline
3. Alteration in Vision Acuity related to ocular muscle involvement
4. Ineffective Breathing Pattern related to neuromuscular dysfunction
4
Rationale 1: Impaired urinary elimination may be a problem for this patient but is not the priority.
Rationale 2: Patients with ALS do not have cognitive decline.
Rationale 3: Alterations in visual acuity are associated more closely with myasthenia gravis.
Rationale 4: ALS affects the neuromuscular function; the patient is at risk for respiratory dysfunction as a result of this disease process.
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The nurse administers lubiprostone (Amitiza) to the patient with irritable bowel syndrome and anticipates what therapeutic action from the drug?
A) Secretion of chloride-rich intestinal fluid leading to increased motility B) Adding bulk to the fecal matter to ease the process of stooling C) Irritation of the inner lining of the bowel to increase bowel motility D) Stimulate the bowel by increasing innervation
A nursing student is researching the various domains of eating disorders. From a psychoanalytic perspective, what are eating disorders related to?
1. Disturbance in the body system 2. Learned behavior regarding the effect of food 3. Conscious intrapersonal and interpersonal conflict 4. Refusal of food due to an unconscious fear of oral impregnation
There has been an impact of the Health Insurance Reform Act, also known as The Patient Protection and Affordable Care Act, on system use and design. Which of the following actions was enacted upon the president's signature?
1. Young people can remain on their parents insurance until 24 years old. 2. Children with preexisting conditions are no longer covered. 3. New plans must offer free preventive care. 4. There are lifetime limits on benefits.
A hospitalized patient with a C7 cord injury asks, "Why can't I feel my legs anymore?" Which is the most appropriate action by the nurse?
1. Remind the patient of her injury and try to comfort her. 2. Call the health care provider and get an order for radiologic evaluation. 3. Prepare the patient for surgery, as her condition is worsening. 4. Explain to the patient that this could be a common, temporary problem.