Which nursing diagnosis is most appropriate for a patient with expressive aphasia following a stroke?
• A patient with expressive aphasia is unable to communicate using either verbal or written language. The nurse will need to find alternate ways to assess the patient's comfort and physical symptoms.
• A patient who has had a stroke may be at risk for ineffective airway clearance, hyperthermia, and acute pain. However, those nursing diagnoses do not address expressive aphasia.
To promote primary prevention of cervical cancer, a nurse created a poster for a booth at a health fair. Which of the following recommendations should the nurse include on the poster?
A patient is diagnosed with iron-deficiency anemia. The physician prescribes ferrous sulfate. Which of the following may be a contraindication for ferrous sulfate therapy?
A patient was diagnosed with pancreatic cancer and asks the nurse about the possible complications of this disease. The nurse responds correctly with which of the following?
The nurse is caring for a patient after undergoing a laminectomy. In regards to patient activity and positioning, the nurse should:
A nurse is caring for an adult patient with myasthenia gravis. Which of the following nursing diagnosis is a priority?
A patient is being discharged home on oxygen therapy. Which of the following statements by the patient indicates a need for further teaching?
On the intensive care unit, a patient with head trauma is on continuous mechanical ventilation. The patient develops increased intracranial pressure. Which among the following interventions should the nurse implement first?
The nurse is instructing a patient on how to perform a testicular self-exam. Which of the following statements would alert the nurse that the patient needs further information about TSE?
The nurse is infusing packed red blood cells into a patient with anemia when the patient reports a backache and chills. The nurse notes hypotension. Which type of hypersensitivity reaction is occurring?
The nurse is caring for a patient diagnosed with ovarian cancer. The nurse knows that the patient needs supportive care since this type of cancer can lead to other health problems. The nurse uses exercises, massages, and compression bandages for which particular problem that the patient may experience?
A patient was admitted for treatment of Guillain-Barré syndrome (GBS). Prioritize these nursing diagnoses:
1. Ineffective airway clearance
2. Risk for emotional distress
3. Fluid volume deficit
4. Potential for injury
A 25-year-old has sustained a head injury from a motor vehicle accident. The nurse notes that his intracranial pressure (ICP) is elevating. Which of the following interventions should the nurse perform to decrease his ICP?
The nurse is assessing a patient in the emergency department in whom meningitis is suspected. Which of the following symptoms would the nurse associate with meningitis?
A nurse is giving discharge instructions to a patient with acquired immunodeficiency syndrome (AIDS). Which of the following should the nurse include?
A patient is admitted to the hospital with complaints of a severe headache and tinnitus. The patient's blood pressure is 202/118 mm Hg. The patient is diagnosed with malignant hypertension, which is most commonly caused by
A nurse is caring for a client with moderate acute decompensated heart failure. The nurse should include which nursing intervention in the care plan?
The nurse is caring for a patient suspected to have pulmonary edema. The nurse notes bilateral crackles, orthopnea, edema, and shortness of breath. After notifying the physician, the nurse should avoid which of the following while waiting for the physician to arrive?