Which nursing diagnoses may apply to the childbearing family with special needs? (Select all that apply.)
a. Risk for spiritual distress
b. Risk for injury
c. Readiness for enhanced nutrition
d. Ineffective breathing pattern
e. Situational low self-esteem
ANS: A, B, E
A childbearing family with special needs may be at risk to develop spiritual distress, experience injury, and exhibit situational low self-esteem. There are no supportive data to hypothesize an ineffective breathing pattern and/or readiness for enhanced nutrition.
You might also like to view...
A 43-year-old woman is at the clinic for a routine examination. She reports that she has had a breast lump in her right breast for years. Recently, it has begun to change in consistency and is becoming harder
She reports that 5 years ago her physician evaluated the lump and determined that it "was nothing to worry about." The examination validates the presence of a mass in the right upper outer quadrant at 1 o'clock, approximately 5 cm from the nipple. It is firm, mobile, and nontender, with borders that are not well defined. The nurse replies: a. "Because of the change in consistency of the lump, it should be further evaluated by a physician." b. "The changes could be related to your menstrual cycles. Keep track of the changes in the mass each month." c. "The lump is probably nothing to worry about because it has been present for years and was determined to be noncancerous 5 years ago." d. "Because you are experiencing no pain and the size has not changed, you should continue to monitor the lump and return to the clinic in 3 months."
Which of the following outcomes demonstrates a knowledge deficit in a caregiver's role of managing the child's sickle cell anemia?
a. seeks medical care at the first sign of an infection b. gives narcotics to assist with pain management in crisis episodes c. prohibit the child from playing football or soccer d. limits fluids in the evening to discourage bed-wetting
The nurse is caring for a patient with Guillain-Barré syndrome. Which medication should the nurse expect to provide to this patient?
Select all that apply. 1. antibiotics for urinary tract or respiratory infections 2. morphine for muscle pain 3. anticoagulants to prevent DVTs and pulmonary emboli 4. anticonvulsants to prevent seizures 5. anticholinesterase inhibitors to improve muscle strength
A nurse monitoring the intake and output of fluids for a client with severe diarrhea knows that normally how much body fluid is lost via the gastrointestinal tract?
A) 300 mL B) 1,000 mL C) 1,300 mL D) 2,600 mL