A client being treated for depression reports feeling better and having more energy. Which is a priority nursing diagnosis for the client at this time?
A) Social Isolation
B) Hopelessness
C) Situational Low Self-Esteem
D) Risk for Self-Directed Violence
Answer: D
The one risk that occurs with successful treatment of a client with depression is that once the depression begins to resolve, the underlying thought of suicide could prevail. With treatment, the client may begin to have more energy to make a plan regarding suicide. The nurse should further assess this client's statement about making plans. The client is not demonstrating low self-esteem, hopelessness, or social isolation.
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A child is being admitted for mild neutropenia and a severe oral monilial infection post–hematopoietic stem cell transplantation (HSCT). To which of the following rooms should the nurse assign this child?
1. Semi-private room 2. Private room with negative pressure 3. Private room 4. Semi-private room with protective isolation
Two days after having coronary bypass grafting, a patient develops atrial fibrillation. The patient is tolerating the rhythm. What is the nurse's initial action?
1. Have the patient cough. 2. Do an electrocardiogram (ECG). 3. Increase the patient's IV rate. 4. Notify the health care provider.
Which of the following statements indicates to a nurse that a patient taking an osmotic diuretic needs further teaching?
1. "I'll need to have blood work drawn periodically." 2. "A couple of the foods I should eat are yogurt and potatoes." 3. "Taking this medicine will make my body hold on to salt and water." 4. "Yellow fruits are high in potassium, so I should eat more of them."
Which should the nurse recognize is a risk factor for gastroesophageal reflux disease (GERD)?
A. Obesity B. Stress C. Esophageal ulcers D. Aging