A nurse is planning care for a patient who is taking tolterodine. Which of the following is an appropriate nursing diagnosis that is an indication for using this drug?
A) Risk for Injury related to multiple drug therapies and drug interactions
B) Risk for Injury related to hyperkalemia secondary to use of the drug
C) Altered Urinary Elimination related to overactive bladder
D) Risk for Deficient Fluid Volume related to the action of the drug
C
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The nurse who holds back from clients emotionally is exhibiting
1. Presencing 2. Distancing 3. Summarizing 4. Denial
The nurse observes that a male patient is snoring every night. Which should the nurse assess in this patient to diagnose the potential for sleep apnea? (Select all that apply.)
a. Change in appetite b. Rituals for sleeping c. Number of daytime naps d. Headaches in the morning e. Irritability during the day f. Awakening during the night
Which situation(s) reflect legal issues associated with telenursing? Select all that are correct
1. The nurse who is licensed in one state is caring for a patient who is in a different state. 2. The use of telenursing equipment is new in the hospital and requires the presence of a non-medical technician. 3. Standards of care in one state's hospitals are different from those in hospitals in another state. 4. The nurse in one state holds an associate degree in nursing and the nurse in the other state holds a baccalaureate degree in nursing. 5. The nurse using telemedicine is paid by the patient "visit," while the hospital staff nurse is paid by the shift.
The perinatal nurse assessing a laboring woman's contraction intensity by internal monitoring would expect, in the transition phase, a reading in the range of:
A) 10–12 mm Hg B) 20–40 mm Hg C) 50–70 mm Hg D) 70–90 mm Hg