A nurse has conducted the admission interview with a client and ...

[Bernana]

A nurse has conducted the admission interview with a client and had analyzed the data in the nursing history. The nurse concludes that a primary care provider needs to be consulted.
 
  Based on this information, which possible conclusion has the nurse made about the admission interview of the client? A) The client has no problem.
  B) The client may have a problem.
  C) The client is at risk for a problem.
  D) The client has a clinical problem.

Question 2

A client has been on the medicalsurgical unit for 3 days. The assessment findings reveal a respiratory rate of 28 and shallow apical pulse of 52, 1+ pitting edema in both lower extremities, and blood sugar of 66 .
 
  Based on this information, the nurse has received orders to administer diuretics. Which condition is most likely responsible for the administration of diuretics by the nurse to the client? A) Respiratory distress
  B) Bradycardia
  C) Systemic edema
  D) Hypoglycemia

[robbielu01]

Answer to Question 1

D
Feedback:
After initiating the preceding steps, the nurse is ready to reach a conclusion. Four conclusions are possible: 1 . The client has no problem. No further nursing care is needed; the nurse reinforces the client's current health habits and recommends other health-promotion activities. 2 . The client may have a problem. The nurse needs to gather more information. 3 . The client is at risk for a problem. This finding indicates a poten tial nursing diagnosis. The nurse continues through the nursing process by planning, implementing, and evaluating. The client may deny that a problem exists or may refuse treatment. 4 . The client has a clinical problem. The client has a nursing diagnosis or medical diagnosis. The problem is a nursing diagnosis if it falls in the domain of nursing, and nursing staff may treat it without consulting a physician. If the problem requires medical treatment (medical diagnosis), the nurse has identified a collaborative problem. When this occurs, the nurse must consult a physician and work together to resolve the problem.

Answer to Question 2

C
Feedback:
Diuretics are medications commonly given for systemic edema to increase the total loss of body fluids and salts via the kidneys. Diuretics are not administered for respiratory distress, bradycardia, or hypoglycemia.

[Bernana]

TYSM

[AngeliqueG]

Excellent