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Which of the following Nursing diagnosis is INCORRECT?
- A. Fluid volume deficit R/T Diarrhea
- B. High risk for injury R/T Absence of side rails
- C. Possible ineffective coping R/T Loss of loved one
- D. Self esteem disturbance R/T Effects of surgical removal of the leg
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You may also like to solve these questions
Resonance is best described as:
- A. Sounds created by air-filled lungs
- B. Short, high pitch and thudding
- C. Moderately loud with musical quality
- D. Drum-like
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
While assessing a client with fluid volume deficit, which of the following findings should the nurse expect?
- A. Bradycardia
- B. Increased skin turgor
- C. Dry mucous membranes
- D. Hypertension
Correct Answer: C
Rationale: Dry mucous membranes are a classic clinical manifestation of fluid volume deficit. Dehydration leads to reduced fluid intake or excessive fluid loss, resulting in decreased moisture in the mucous membranes. Bradycardia, increased skin turgor, and hypertension are not typically associated with fluid volume deficit. Bradycardia is more commonly seen in conditions like hypothyroidism or increased intracranial pressure. Increased skin turgor is a sign of dehydration, and hypertension is not a typical finding in fluid volume deficit.
Anticipatory grieving is beneficial to a client or family because it can:
- A. Help a person progress to a healthier emotional state.
- B. Be done in private.
- C. Draw a family closer to help care for each other more.
- D. Be discussed with others.
Correct Answer: A
Rationale: Anticipatory grieving mourning before a loss (e.g., terminal diagnosis) helps clients or families process emotions gradually, fostering a healthier emotional state. It allows acceptance over time, reducing shock post-loss (e.g., preparing for a loved one's death). Privacy is possible but not the benefit grieving's value lies in emotional work, not seclusion. Drawing family closer may occur, but it's secondary; individual coping is primary. Discussing with others aids support, not the core benefit. By facilitating emotional adjustment e.g., a patient accepting mortality anticipatory grieving eases transition, a key nursing focus in end-of-life care, making this the primary advantage.
The nurse listened to Mr. Gary to build trust. This is an example of?
- A. Therapeutic communication
- B. Reflective practice
- C. Health promotion
- D. Care transition
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Hyperpyrexia is a condition in which the temperature is greater than
- A. 40 degree Celsius
- B. 39 degree Celsius
- C. 100 degree Fahrenheit
- D. 105.8 degree Fahrenheit
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.