Author Question: An elderly man has serious vision problems and is no longer allowed to obtain a driver's license. He ... (Read 74 times)

laurencescou · **on:** Jul 19, 2018

An elderly man has serious vision problems and is no longer allowed to obtain a driver's license. He has been very independent until this time. Which nursing diagnosis is most appropriate for this situation?

a. Confusion, chronic
b. Coping, ineffective
c. Self-esteem, risk for situational low
d. Grieving, dysfunctional

Question 2

The laboratory report for a patient taking clozapine (Clozaril) shows a white blood cell count of 3000 mm3 . Select the nurse's best action.

a. Report these results to the health care provider immediately.
b. Give the next dose as prescribed.
c. Give aspirin and force fluids.
d. Repeat the laboratory test.

Pariscourtney · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

C
Self-esteem, risk for situational low is most appropriate because of his previous independence. The other options are also nursing diagnoses, but the situation does not lend itself to these diagnoses.

Answer to Question 2

A
These laboratory values indicate the possibility of agranulocytosis, a serious side effect of clozapine therapy. These results must be immediately reported to the health care provider, and the drug should be withheld. The health care provider may repeat the test, but in the meantime, the drug should be withheld.