A patient with diabetes mellitus presents with a wound on the foot that is slow to heal. The nurse identifies which nursing diagnosis as most appropriate? a) Impaired Skin Integrity b) Ineffective Tissue Perfusion c) Risk for Infection d) Impaired Physical Mobility
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A patient with diabetes mellitus presents with a wound on the foot that is slow to heal. The nurse identifies which nursing diagnosis as most appropriate? a) Impaired Skin Integrity b) Ineffective Tissue Perfusion c) Risk for Infection d) Impaired Physical Mobility
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- The nurse is reviewing the medication list for a patient who will be starting therapy with somatropin. Which type of drug would raise a concern that needs to be addressed before the patient starts the somatropin? a )Nonsteroidal antiinflammatory drug for arthritisb) Antidepressant drugc )Penicillind )GlucocorticoidA patient is admitted with a diagnosis of Guillain-Barre syndrome (GBS). Which of the following findings on physical examination would be MOST concerning for the nurse? a) Decreased muscle strength b) Absent deep tendon reflexes c) Sensory disturbances in the extremities d) Difficulty swallowingThe nurse is assessing a patient for possible substance abuse. Which assessment finding indicates possible use of amphetamines? a )Lethargy and fatigueb) Cardiovascular depressionc )Talkativeness and euphoriad )Difficulty swallowing and constipation
- 4)The nurse completes an admission assessment on an older adult patient. The nurse identifies which factor that may contribute to falls A) Poly pharmacy b) exposure to sunlight c)taking antacids d)increased fluid intakeThe nurse is developing a plan of care for a patient receiving an anorexiant. Which nursing diagnosis is most appropriate?a )Deficient fluid volumeb) Sleep deprivationc) Impaired memoryd )Imbalanced nutrition, less than body requirementsThe nurse is compiling a drug history for a patient. Which question from the nurse will obtain the most information from the patient? a )“Do you depend on sleeping pills to get to sleep?” b )“Do you have a family history of heart disease?” c )“When you have pain, what do you do to relieve it? d) “What childhood diseases did you have?”
- A hospitalized patient is complaining of having difficulty sleeping. Which action will the nurse take first to address this problem?a )Administer a sedative-hypnotic drug if ordered.b )Offer tea made with the herbal preparation valerian.c )Encourage the patient to exercise by walking up and down the halls a few times if tolerated.d )Provide an environment that is restful, and reduce loud noises.Before initiating therapy with a nonselective beta blocker, the nurse will assess the patient for a history of which condition?a) Hypertensionb) Liver diseasec) Pancreatitisd) AsthmaDuring therapy with the cytotoxic antibiotic bleomycin, the nurse will assess for a potentially serious adverse effect by monitoring a )blood urea nitrogen and creatinine levels.b )cardiac ejection fraction.c )respiratory functiond )cranial nerve function.
- Which of the following nursing interventions is appropriate for a patient with impaired mobility? a) Encouraging the patient to remain in bed at all times b) Assisting with range-of-motion exercises c) Restraining the patient to prevent falls d) Administering sedatives to keep the patient calmHow should a nurse respond to a medication error? A) Cover up the error to avoid consequences B) Report the error according to hospital policy C) Blame another member of the healthcare team D) Wait to see if the patient experiences adverse effectsFor a patient experiencing dyspnea, which nursing action is appropriate? A) Restrict fluids to reduce the workload on the heart B) Place the patient in a supine position to facilitate comfort C) Administer oxygen therapy as prescribed D) Encourage deep breathing exercises only during the day