The nurse is developing a written plan of care for a patient receiving vaccines. What would be an appropriate nursing diagnosis for this patient?
A) Ineffective tissue perfusion if severe reaction occurs
B) Chronic pain related to local, gastrointestinal (GI), and flu-like effects
C) Monitoring effectiveness of comfort measures and adherence to the regimen
D) Monitoring patient's blood serum levels
A
Feedback:
Nursing diagnoses related to drug therapy might include ineffective tissue perfusion if severe reaction occurs. Option B is incorrect because vaccines do not generally cause chronic pain. Options C and D are implementations, not diagnoses.
You might also like to view...
A 74-year-old woman who is in the hospital for rehabilitation following hip replacement has been experiencing incontinence since admission. Which of the following interventions are likely to fa-cilitate the restoration of the patient's bladder function?
(Select all that apply.) a. Assess the patient's recent voiding pat-tern. b. Request an order for an indwelling cathe-ter from the patient's physician. c. Teach the patient how to meet hydration needs while still limiting fluid intake. d. Assist the patient to use the bathroom. e. Request an order for medication to de-crease bladder spasms.
Postpartum nutritional status is determined primarily by assessing which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Dietary history 2. Menstrual history 3. Mother's weight 4. Hemoglobin levels 5. Mother's height
The nurse is educating a client who is participating in a drug study and describes the median toxicity dose as the dose that will produce toxicity in ____ % of a group of clients
Fill in the blank with the appropriate word.
Each of the following pregnant women is scheduled for a 14-week antepartum visit. In planning care, the nurse would give priority teaching on amniotic fluid alpha-fetoprotein (AFP) screening to which patient?
1. 28-year-old with history of rheumatic heart disease 2. 18-year-old with exposure to HIV 3. 20-year-old with a history of preterm labor 4. 35-year-old with a child with spina bifida