The nurse assesses a client with a temporal bone fracture and notices drainage from the right nare. Based on this assessment, which nursing diagnosis should the nurse document as priority for this client?
1. Potential for infection
2. Risk for pain
3. Risk for impaired sensory input
4. Foreign body
Potential for infection
Rationale: Potential for infection is the nursing diagnosis that should be documented in the chart, as the drainage may indicate a cerebrospinal fluid leak. While the client may be in pain and may have an impaired sense of smell, the potential for infection from meningitis is the priority. There is no indication the client has a foreign body.
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Which is an example of multilateral health care aid
A. Donations of clothing provided by American schoolchildren are sent to Asian schoolchildren B. Transporting children in need of faster care across state lines to facilitate appropriate placements C. Sending the hospital ship HOPE to Japan to provide post-earthquake health care. D. Dispatching the NationalGuard to dispense food and water to survivors of a major flood
A patient who is 2 months pregnant is concerned about frequent urination. What should the nurse instruct the patient about this occurrence?
A) This means urine is more concentrated. B) The fetus is adding urine to the patient's bladder. C) It is caused by pressure on the bladder from the uterus. D) There is a decrease in the glomerular cells of the kidney.
A successful career map was shared during a presentation at a nursing conference. The presenter listed key strategies for building successful career maps. What are the key strategies for building successful care maps?
A) Networking and mentoring B) Creating career maps and marketing C) Networking and marketing D) Mentoring and creating career maps
A patient who has had a recent below-knee amputation tells the nurse that he feels as though his toes are cramping. What would the nurse say in return?
A) "Oh, that is all in your mind. Just forget it." B) "That is called phantom pain, and it is not unusual." C) "Well, that is really strange. I will notify the doctor." D) "I think it might be good to refer you to a psychiatrist."