A client has sought treatment for a specific phobia: fear of…

A client has sought treatment for a specific phobia: fear of cats. The nurse in the anxiety disorders clinic has established the nursing diagnosis: Anxiety related to exposure to phobic object (cats). Which of the following is a realistic short-term goal for this client?

A client tells the nurse at the anxiety disorders clinic tha…

A client tells the nurse at the anxiety disorders clinic that he experiences palpitations, difficulty breathing, and a sense of overwhelming dread whenever he goes out of his home. This problem began after he was beaten and robbed on his way to work. He has been unable to go to his office for over a month. He asks the nurse: Don’t you agree that not being able to go out is pretty stupid? The most therapeutic reply from among those listed below is:

Case Study   A woman diagnosed with gestational diabetes del…

Case Study   A woman diagnosed with gestational diabetes delivered a 7-pound 2-ounce male at 36 weeks after spontaneous rupture of membranes without complications at 0532.  APGARS were 8/8. The mother states that the neonate successfully breastfed for thirty minutes right after birth. Nurses’ Notes 0900: Upon rounding with the pediatrician on the perinatal unit, a nurse notes the newborn is demonstrating fast and shallow breathing, grunting, nasal flaring, chest retracting, and skin color dusky.  The mother states she tried to breastfeed, but the baby did not seem to be interested and is sleeping soundly. The neonate has yet to void or stool.   0910. Blood glucose 34 mg/dl. Newborn is lethargic with poor muscle tone. Passed meconium.  Auscultation of the lungs reveal inspiratory crackle and expiratory grunting. Vital Signs Time 0900 0910 Temp 97F 97F HR 156 160 RR 76 76 B/P 70/35 N/A Pulse oximeter 91% on RA 90% on RA Pain 0 0 Orders: CBC with differential Metabolic panel Arterial blood gases Blood cultures  Meconium for toxicology Chest x-ray  Oxygen via hood   Laboratory Results     Lab Results Reference range ABG pH 7.25 7.35-7.45 ABG P02 58 60 -70 mm Hg ABG PC02 52 35-45 mmHg ABG SaP02 88 95-100% ABG HC03 17 22-26 mEq/L Glucose 34 40-60 mg/dl Hematocrit 53 Newborn 46-68% Hemoglobin 18 g/dl Newborn 15.2-23.6 g/dl WBC 10 9.1 – 30.1 x 103 cells/mm3 Blood type O+   Diagnostic Reports   Echocardiogram no congenital heart defect noted. Chest x-ray hypo aeration- ground glass pattern Fill in the blanks  Make sure to use the exact wording of the choices below The condition the newborn is most likely experiencing is_______________ and the focus of nursing management is ____________. Choices for 1st blank are:  Neonatal abstinence syndrome Neonatal septic shock Respiratory distress syndrome _______ Make sure to use the exact wording of the choices below Choices for 2nd blank are: supportive care early surfactant administration early identification of infection  _______