A client is recovering from coronary artery bypass graft (CABG) surgery. Which nursing diagnosis takes highest priority at this time?

a. Decreased cardiac output related to depressed myocardial function, fluid volume deficit, or impaired electrical conduction
b. Anxiety related to an actual threat to health status, invasive procedures, and pain
c. Disabled family coping related to knowledge deficit and a temporary change in family dynamics
d. Hypothermia related to exposure to cold temperatures and a long cardiopulmonary bypass time


Answer: a. Decreased cardiac output related to depressed myocardial function, fluid volume deficit, or impaired electrical conduction

Nursing

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When the patient with a platelet count of 20,000/mm3 receives 1 unit of platelets, the platelet count should rise to:

1. 25,000 to 30,000/mm3. 2. 35,000 to 40,000/mm3. 3. 45,000 to 50,000/mm3. 4. 55,000 to 100,000/mm3.

Nursing

A client slammed a door on the unit several times. The nurse responds, "You seem angry." The client states, "I'm not angry."

What therapeutic communication technique has the nurse employed, and what defense mechanism is the client unconsciously demonstrating? A. Making observations and the defense mechanism of suppression B. Verbalizing the implied and the defense mechanism of denial C. Reflection and the defense mechanism of projection D. Encouraging descriptions of perceptions and the defense mechanism of displacement

Nursing

A 60-year-old woman complained to the nurse that she just could not keep caring for her 85-year-old mother much longer. What might prevent the woman from using the respite center that the nurse suggested?

a. Cost of respite care b. Embarrassment c. Family expectations d. Fear of how others would care for her mother

Nursing

A group of students are reviewing information about strategic planning and the adoption of healthcare information technology

The students demonstrate understanding of the material when they identify which of the following as reflective of the strategic plan? Select all that apply. A) Flexible in overall design B) Focused on short-term time frames C) Inclusion of resource acquisition D) Support for the use of information technology E) A brief overview of the agency's goals

Nursing