A 68-year-old client with heart failure is being taught strategies for daily weight monitoring at home. Which statement by the client indicates a need for further teaching?

A nurse is reviewing diagnostic findings for a client suspected of having heart failure. Which of the following findings would most strongly support this diagnosis?

A patient with chest pain hast BP 78/48mmHg and is pale and diaphoretic. What should the nurse do first ? 

A nurse is caring for a client 24 hours after a tracheostomy placement for respiratory failure. Which of the following findings indicates that the tracheostomy care has been effective?

The nurse in the outpatient clinic is triaging a 19-year-old client with reports of auditory hallucinations, paranoia, and alterations in speech. The nurse’s assessment shows the client is apathetic, and she reports quitting her job from a lack of motivation. The nurse suspects that this client is at highest risk for

The nurse in the mental health unit is preparing to establish a new group therapy session. Which client would be most appropriate for group therapy? A client 

The nurse is reviewing eating disorders with a group of students. It would be correct for the nurse to identify that the primary differential between anorexia nervosa and bulimia nervosa is a client’s

The nurse cares for a 22-year-old female with an eating disorderHistory And PhysicalA 22-year-old female was admitted voluntarily to the inpatient unit following a need to ‘get help with her eating habits.’ Reportedly, the client admits to eating a large amount of food and feeling ‘disgusted’ afterward, which triggers self-induced vomiting. She has done this multiple times and reports it has gotten out of control.’ She says she is always worried about her appearance ‘not being good enough.! She denies using any laxatives or diuretics; however, her mother reports she found two empty boxes of laxatives in her apartment.On exam, the client is alert and completely oriented. She is cooperative during the exam and has an anxious and worried affect. She has a slender appearance and a current body mass index (BMI) of 20. Scars were observed on both index fingers. She says physically, her only complaint is daily heartburn and occasional dizziness during exercise. For the nursing diagnosis: Disturbed Body Image , select the appropriate nursing intervention. 

The nurse is caring for a client experiencing auditory hallucinations. Which of the following statements would be most appropriate for the nurse to make to the client?

A nurse cares for a client who has missed their last appointment with the primary healthcare provider (PHP). The client states, “I missed my appointment because / overslept, but I knew it would be pointless anyway.” The client is demonstrating which defense mechanism?