A nurse documents the following diagnosis for a hospitalized patient: Risk for Imbalanced Nutrition: More Than Body Requirements. What is the major goal of interventions for a risk diagnosis?
A) reduce or eliminate contributing factors
B) prevent the problem
C) collect additional data
D) promote higher-level wellness
B
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Gastroesophageal reflux disease may be aggravated by the following medication that affects lower esophageal sphincter (LES) tone:
1. Calcium carbonate 2. Estrogen 3. Furosemide 4. Metoclopramide
The nurse plans care for a client receiving hemodialysis (HD) every third day. Which is the priority nursing goal?
1. Palpate the thrill of client's AV fistula. 2. Maintain integrity of client's AV fistula. 3. Provide low potassium foods with meals. 4. Maintain the fluid and electrolyte balance.
A client's family often goes through the same stages of grief and loss related to the dying experience as does the client. Not all people go through the grief experience in the same sequence in the same way
A client's family keeps repeating over and over "why is this happening to my father?" What stage of dying is being expressed by the client's family? A) Denial and isolation B) Anger and rage C) Bargaining and developing awareness D) Detachment
A client who is receiving lithium comes to the clinic for an evaluation. During the visit, the client reports a fine hand tremor. Which action by the nurse would be most appropriate?
A) Immediately obtain a specimen to determine the client's blood drug concentration. B) Suggest that the client take the medication with meals or snacks. C) Assist the client in minimizing exposure to stressors. D) Encourage the client to elevate the affected hand on a pillow.