The nurse is caring for a patient with deep vein thrombosis of the left lower extremity. The patient exhibits a decrease in pulse oximetry readings from 98% to 86%, shortness of breath with a respiratory rate of 34, and is now disoriented to place
The nurse recognizes that these findings are caused by what complication?
A) Pulmonary edema
B) Cardiac tamponade
C) Pulmonary embolus
D) Tension pneumothorax
C
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The nurse caring for a client who plans to become pregnant soon explains the importance of folic acid before conception, and instructs the client to eat plenty of:
A) organ meats. B) dairy products. C) dark green, leafy vegetables and dried beans. D) yellow vegetables.
The growing multiculturalism of the American society can lead to problems when
1. Cultural standards are congruent with professional standards. 2. Certain ethnic groups do not want to comply with Western medicine ideals. 3. Ethnic groups overburden the health care system. 4. The greater community's values are jeopardized by specific ethnic values.
The nurse finds that a patient discontinued drug therapy due to an inability to afford the medications. As a result, the expected patient goals were not met. What action does the nurse take?
A. The nurse assesses the patient's needs and develops new goals. B. The nurse implements new nursing interventions to meet the goals. C. The nurse formulates a nursing diagnosis for the patient's condition. D. The nurse informs the patient about the consequences of noncompliance.
The client has been diagnosed with hyperlipidemia and is being educated on types of food to include in his diet. What is the most appropriate nursing diagnosis for this client?
1. Impaired health maintenance, related to effects of drug therapy 2. Deficient knowledge, related to need for altered lifestyle 3. Noncompliance, related to dietary regime 4. Self-care deficit, related to disease process