For which nursing diagnosis should the nurse assess in a patient with newly diagnosed acromegaly?
a. Imbalanced Nutrition
b. Ineffective Airway Clearance
c. Body Image Disturbance
d. Risk for Complications related to fluid imbalance
ANS: C
Body image disturbance is likely due to changes in physical appearance. Airway clearance, nutrition, and fluid balance are not directly affected.
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The correctional facility nurse is planning diversion actions for individuals with mental illness. What needs to be created to support diversion for this population? (Select all that apply.)
1. Specialized mental health courts. 2. Crisis intervention team policing. 3. Increased frequency of medical evaluations. 4. Ongoing assessment of mental health problem. 5. Scheduled times for medication administration.
What information should be elicited from the client before the client undergoes an arthro-graphy?
A. Allergy to shellfish or iodine B. Onset of symptoms C. Recent upper respiratory infection D. Time since the last meal was ingested
The role of the mentee needs to be understood early in the mentoring relationship. What is a characteristic or example of the mentee's role?
a. Not interrupting the mentor b. Absorbing what the mentor explains in detail c. Establishing personal short- and long-term goals d. Finding out what the mentor has to offer in terms of experience
What does the nursing diagnosis represent?
A) Symptoms B) Signs C) Cues D) Maladaptation