The nurse admits a patient who is scheduled for surgery tomorrow morning. The nursing admission assessment indicates that the patient is mildly anxious about the procedure, does not drink alcohol or smoke, is married with two children,
and is allergic to kiwi, avocados, and penicillin. The nurse identifies the priority nursing diagnosis for this patient as:
a. Fear
b. Anxiety
c. Risk for Latex Allergy Response
d. Ineffective Airway Clearance
ANS: C
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Which conditions most commonly place older adults at risk for overdose from medications and severe reactions? (Select all that apply.)
a. Depression b. Higher rate of metabolism c. Interaction with other medications d. Problems with sight and memory
A nurse finds a psychiatric advance directive in the medical record of a patient experiencing psychosis. The directive was executed during a period in which the patient was stable and competent. The nurse should
a. ensure that the directives are respected in treatment planning. b. review the directive with the patient to ensure that it is current. c. consider the directive only if there is a cardiac or respiratory arrest. d. realize that such directives address only the use of psychotropic medication.
Subjective data are referred to as symptoms, and objective data are signs. Each type of data often complements each other
Indicate whether the statement is true or false
A patient tells the nurse that he frequently wakes up from sleep and can't move his arms and legs. The nurse realizes this patient is describing:
a. Hypersomnia c. Sleep apnea b. Sleep paralysis d. Narcolepsy