Which of the following nursing diagnoses would the nurse expect to find on the care plan of the client prone to falls?
1. Deficient Knowledge
2. Risk for Injury
3. Risk for Disuse Syndrome
4. Risk for Suffocation
2. Risk for Injury
Rationale:
Risk for Injury is a state in which the individual is at risk as a result of environmental conditions like a fall. Deficient Knowledge deals with injury prevention. Risk for Disuse Syndrome is a deterioration of a body system as the result of prescribed or unavoidable musculoskeletal inactivity. Risk for Suffocation occurs when inadequate air is available for inhalation.
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A patient is suspected of having myasthenia gravis crisis. A small dose of tubocurarine is administered, and the patient develops increased muscle weakness. The nurse should prepare to administer immediately which class of medication?
a. A calcium channel blocker b. A dopamine agonist c. Sympathetic stimulant d. Cholinesterase inhibitor
The nurse is caring for an 80-year-old client who has had coronary artery bypass graft surgery. Which assessment does the nurse prioritize for this client?
a. Skin b. Otoscopic c. Mental status d. Gastrointestinal