Answer to Question 1
4. Imbalanced Nutrition: More than Body Requirements
Rationale:
The client with a BMI of 30.5 is obese. In addition, the client has irregular chest pain and shortness of breath and complains of fatigue with activity. The priority nursing diagnosis for the client at this time would be imbalanced nutrition: more than body requirements. Fear and ineffective coping would be applicable to the client diagnosed with an acute myocardial infarction. There is no evidence that the client has a fluid deficit.
Answer to Question 2
2. Hypotonia
Rationale:
Hypotonia is possible if the child is getting too much Baclofen. Continuous Baclofen infusion does not cause diarrhea. Restlessness is not seen with Baclofen; rather, these children can be drowsy and sleepy. Hypertonia is not seen as a side effect of Baclofen infusion.