The son of an elderly client with obsessive-compulsive disorder ...

[kwoodring]

The son of an elderly client with obsessive-compulsive disorder tells the nurse that he wants to contact the fire department to report his mother since the house is nothing but boxes and bags of saved items.
 
  The most appropriate nursing diagnosis for this situation would be: 1. Ineffective Coping.
   2. Anxiety.
   3. Deficient Knowledge.
   4. Risk for Caregiver Role Strain.

Question 2

A 20-year-old woman is at 28 weeks' gestation. Her prenatal history reveals past drug abuse, and urine screening indicates that she has recently used heroin.
 
  The nurse should formulate the nursing diagnosis recognizing that the woman is at increased risk for which of the following? 1. Erythroblastosis fetalis
   2. Diabetes mellitus
   3. Abruptio placentae
   4. Pregnancy-induced hypertension

[connor417]

Answer to Question 1

4. Risk for Caregiver Role Strain.

Rationale:
The son is experiencing anxiety about the client's obsessive-compulsive behavior, which indicates a risk for caregiver role strain. There is not enough information to determine whether or not the client or son is experiencing Ineffective coping, Anxiety, or Deficient knowledge.

Answer to Question 2

4. Pregnancy-induced hypertension

Rationale:
Women who use heroin are at risk for poor nutrition, anemia, and pregnancy-induced hypertension (or pre-eclampsia). Erythroblastosis fetalis is secondary to physiological blood disorders such as Rh incompatibility. Diabetes is an endocrine disorder that is unrelated to drug use and abuse. Abruptio placentae is seen more commonly with cocaine and crack use.

[kwoodring]

Excellent

[dawsa925]

Gracias!