The nurse is providing care to an older adult patient who is diagnosed with delirium. Which finding in the patient's health history is a risk factor for delirium?
1) A history of a brain infarct
2) The recent death of a family member
3) A recent move to a new city
4) The diagnosis of dehydration
ANS: 4
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A home health nurse is preparing to make the initial visit to a new patient's home. When planning educational interventions, what information should the nurse provide to the patient and his or her family?
A) Available community resources to meet their needs B) Information on other patients in the area with similar health care needs C) The nurse's contact information and credentials D) Dates and times of all scheduled home care visits
Qualifiers are added to some NANDA statements to:
1. Explain the cause of the nursing diagnosis. 2. Give additional meaning to the diagnostic statement. 3. Connect to the medical diagnosis. 4. Identify collaborative problems.
An older adult client is experiencing confusion, a temperature of 101.5 °F, bruising to the arms and legs, and decreased urine output
The medical diagnosis is a urinary tract infection. Which is the most appropriate nursing diagnosis for this client? A) Risk for Injury B) Ineffective Breathing Pattern C) Activity Intolerance D) Impaired Memory
A nurse caring for a patient with crushing injuries from an automobile accident notes that the patient is bleeding profusely from the nose, mouth, and rectum, as well as from the injuries
What should the nurse suspect as the cause of this patient's bleeding? a. Hemophilia b. Disseminated intravascular coagulation (DIC) c. Leukemia d. Thrombocytopenia