Which of the following groups of symptoms indicates a ruptured abdominal aortic aneurysm?

Correct Answer: B

Rationale: The correct answer is B because a ruptured abdominal aortic aneurysm typically presents with severe lower back pain due to the leakage of blood into the abdomen, leading to irritation of surrounding tissues. Decreased blood pressure is a result of significant blood loss from the rupture. Decreased RBC count occurs due to hemolysis and loss of red blood cells into the abdominal cavity. Increased WBC count is a response to inflammation and infection resulting from the rupture. Choices A, C, and D are incorrect because they do not align with the typical presentation of a ruptured abdominal aortic aneurysm. The symptoms described in these choices do not accurately reflect the clinical manifestations associated with this condition.

Correct Answer: D

Rationale: The correct answer is D, Impaired social interaction. This is because impaired social interaction pertains to difficulties in communication or interaction with others, which is not typically a nursing diagnosis but rather an outcome or potential problem. Choices A, B, and C are appropriate nursing diagnoses as they address common patient problems that nurses assess and intervene upon. A: Ineffective individual coping relates to a patient's inability to manage stress; B: Alteration in comfort, pain involves discomfort or pain that affects the patient's well-being; C: Altered role performance refers to changes in the patient's ability to fulfill expected roles.

Correct Answer: D

Rationale: The correct answer is D: Ineffective coping. The parents' apprehensions indicate they are struggling to effectively manage the challenges of caring for their maladaptive child. This nursing diagnosis addresses their difficulty in dealing with stressors and adapting to the situation. Choice A (Hopelessness) focuses on feelings of despair, not directly related to coping. Choice B (Altered parenting role) pertains to changes in parenting responsibilities, not specifically addressing coping mechanisms. Choice C (Altered family process) refers to disruptions in family functioning, but does not pinpoint the parents' coping abilities. In contrast, choice D directly addresses the parents' struggle to cope with the situation, making it the most appropriate nursing diagnosis in this scenario.

Correct Answer: C

Rationale: The correct answer is C: Agnosia. Agnosia is the inability to recognize or interpret sensory information correctly, such as mistaking a toothbrush for a comb due to cognitive impairment. In this case, the old woman's confusion in using a toothbrush to comb her hair indicates a sensory recognition issue. Apraxia (A) is the inability to execute purposeful movements, Aphasia (B) is the loss of ability to understand or express speech, and Amnesia (D) is the loss of memory, none of which are demonstrated in this scenario.

Correct Answer: A

Rationale: The correct answer is A because learning problem-solving skills can help the patient regain control over their eating habits and address the underlying issue of powerlessness. This intervention empowers the patient to identify triggers, develop coping strategies, and make informed decisions about their eating behaviors. Choices B, C, and D are incorrect because decreasing anxiety symptoms, performing self-care activities, and verbalizing setting limits on others do not directly address the core issue of powerlessness related to bulimia nervosa.