Which is the most appropriate nursing diagnosis for the adolescent diagnosed with cystic fibrosis who is intubated with an endotracheal tube?

1. Anxiety related to leaving chores undone at home
2. Fear of future pain related to medical procedures
3. Risk for Overweight related to inactivity
4. Powerlessness (moderate) related to inability to speak or communicate with friends


4
Explanation:
1. The adolescent is oriented to the present, not future, and is unlikely to worry about household chores.
2. The adolescent is oriented to the present, not future, and is unlikely to worry about future unknown procedures.
3. The adolescent with cystic fibrosis is likely to be underweight, and is unlikely to take in more calories than needed while intubated.
4. The adolescent values communication with peers, and might feel frustrated that she cannot speak to them while intubated.

Nursing

You might also like to view...

The nurse is providing care for a client diagnosed with leukemia and thrombocytopenia. Following a bone marrow biopsy, the nurse's priority of care is to:

1. Hold pressure on the wound for approximately five minutes. 2. Label and refrigerate the specimen obtained by the physician. 3. Evaluate the client's understanding of the purpose of the test. 4. Clean the supplies used for the procedure and dispose of used equipment.

Nursing

A patient is being treated in the ICU for neurogenic shock secondary to a spinal cord injury. Despite aggressive interventions, the patient's mean arterial pressure (MAP) has fallen to 55 mm Hg

The nurse should gauge the onset of acute kidney injury by referring to what laboratory findings? Select all that apply. A) Blood urea nitrogen (BUN) level B) Urine specific gravity C) Alkaline phosphatase level D) Creatinine level E) Serum albumin level

Nursing

A nurse is working with a teen who has epilepsy treated with carbamazepine (Tegretol). Laboratory results indicate a serum drug level of 2 µg/mL. Which action by the nurse is the most appropriate?

A. Assess the teen for noncompliance. B. Document the results in the chart. C. Have the teen continue the regimen. D. Tell the teen to cut the dose in half.

Nursing

In comparing the ambulatory care setting to an inpatient hospital setting, the nurse- instructor is correct in stating that the ambulatory care setting

a. has had so many cost increases that a visit is just as costly as the hospital. b. is already in decline and offers limited employment opportunities. c. may create a feeling of greater stress to the client than a hospital setting. d. provides an environment where the client is less at risk for nosocomial infection.

Nursing