Which nursing diagnosis is appropriate for a patient with substance abuse?
a. Anxiety
b. Chronic or situational low self-esteem
c. Risk for delayed development
d. Acute confusion
B
Low self-esteem is related to a loss of control and guilt.
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What is important to remember about gender differences in communication?
A) Occur because men are more collaborative B) Rarely impact nursing care C) Often affect the quality of organization communication D) Occur because women are more competitive
The nurse is planning care for a client with epilepsy. Which precautions does the nurse implement to ensure the safety of the client while in the hospital? (Select all that apply.)
a. Have suction equipment at the bedside. b. Place a padded tongue at the bedside. c. Permit only clear oral fluids. d. Keep bed rails up at all times. e. Maintain the client on strict bedrest. f. Ensure that the client has IV access.
At which auscultatory site would a normal split S1 occur?
1) Aortic 2) Pulmonic 3) Tricuspid 4) Mitral
While performing an admission assessment, the nurse auscultates a high-pitched, scratching, and grating sound at the left lower sternal border. The nurse should know that this would be documented as what type of sound?
A) Paradoxical sound B) Split sound C) Pericardial murmur D) Pericardial friction rub