During change of shift report, the nurse hears the following information on a newly delivered client:
27 years old, married, G4 P3, 8 hours postspontaneous vaginal delivery over 3º laceration, vitals—110/70, 98.6ºF, 82, 18, fundus firm at umbilicus, moderate lochia, ambulated to bathroom to void three times, breastfeeding every 2 hours. Which of the following nursing diagnoses should the nurse include in this client's nursing care plan?
A) Fluid volume deficit
B) Impaired skin integrity
C) Impaired urinary elimination
D) Ineffective breastfeeding
B
Impaired skin integrity
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A classic sign of hypoparathyroidism is
A) Trousseau's sign. B) Chadwick's sign. C) Chvostek's sign. D) a and c are both correct.
A 44-year-old patient is concerned about colorectal cancer because of a change in bowel habits. Which of the following is a risk factor for colorectal cancer?
a. vegetarian diet c. body mass index of 32 b. alcohol intake of one beer every night d. marathon runner
A patient diagnosed with anorexia nervosa spills milk over a plate of partially eaten food. Select the nurse's best response
a. "That won't work. You are manipulating." b. "You are deliberately making mealtime difficult." c. "I will get you a fresh plate of food so you can finish." d. "You are required to eat your meal. I'll wait until you finish."
Your elderly client is hard of hearing. What is the best way to communicate with him?
1. Use a family member to translate. 2. Write notes to the client. 3. Speak loudly and in a high-pitched voice. 4. Stand in front of the client and speak in a normal tone of voice at a lower pitch.