What nursing diagnosis is suggested by this clients statement A Ineffective

What nursing diagnosis is suggested by this clients

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What nursing diagnosis is suggested by this client's statement? A) Ineffective coping related to knee pain B) Activity intolerance related to knee pain C) Ineffective role performance related to osteoarthritis D) Situational low self-esteem related to osteoarthritis Page 7 Page 8 Answer Key 1. A, B 2. C 3. C 4. B 5. D 6. C 7. D 8. C 9. A 10. D 11. D 12. C 13. A 14. C 15. A 16. B 17. C 18. C 19. B 20. B 21. C 22. A 23. D 24. C 25. B 26. A 27. B 28. D 29. C 30. B 1. Assessment of a client reveals a history of insulin-dependent diabetes mellitus, weight loss, polyuria, poor skin turgor, nausea, loss of appetite, and a blood glucose level
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measured by finger stick of 348 mg/dL. Which of the following nursing diagnoses would be the nurse's priority? A) Risk for imbalanced fluid volume related to inadequate oral intake and frequent urination B) Imbalanced nutrition: more than body requirements related to diabetes C) Potential complication: hypertension D) Powerlessness related to diabetes self-care and management 2. The nurse's assessment reveals that a client is in a low percentile for midarm muscle circumference (MAMC) and a high percentile for triceps skin fold (TSF) thickness. Which of the following would be appropriate? A) Teaching the client muscle-building exercises B) Discussing ways to increase body fat stores C) Assisting client in reducing the amount of fluid build-up D) Encouraging the use of a multivitamin supplement 3. An adult client weighs 175 pounds and is 5 feet 6 inches tall. The nurse determines that the client's body mass index is which of the following? A) 12 B) 18 C) 25 D) 28 4. A client weighs 106 pounds and is 5 feet 5 inches tall. As a result, her ideal body weight is 120 pounds. After determining the client's percentage of ideal body weight, which of the following should the nurse conclude? A) Client is mildly malnourished. B) Client is experiencing moderate malnutrition. C) Severe malnutrition is present. D) The client's body weight is within 10% of ideal body weight. 5. A nurse is reviewing the laboratory test results of an adult client who has numerous chronic health challenges. Which assessment result would alert the nurse to potential malnutrition? A) Hemoglobin of 13.1 g/dL B) Hematocrit of 40 % C) Serum albumin of 2.6 g/dL D) Total protein of 7 g/dL Page 2 6. The nurse should prioritize assessments related to overhydration for a client experiencing which of the following health problems? A) Early congestive heart failure B) Chronic emphysema C) Newly diagnosed hepatitis C virus infection D) Adult respiratory distress syndrome 7. The nurse is assessing a client who has been admitted with signs and symptoms that are consistent with malnutrition. Which of the following physiological phenomena would the nurse recognize as an early indicator of malnutrition ? A) Protein stores are lower than normal B) Bone is metabolized to compensate for missing nutrients C) Calcium levels decrease D) Hemoglobin levels decrease
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8. A client is receiving an intradermal injection to evaluate general immunity during a nutritional assessment. Which of the following conclusions is suggested if the client has no reaction? A) It indicates high cholesterol and triglyceride levels. B) It shows a
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