A client is admitted with a gunshot wound to the leg. Which of the following nursing diagnoses would be important to include in this client's plan of care?
1. Anxiety
2. Ineffective Coping
3. Risk for Infection
4. Situational Low Self-Esteem
3. Risk for Infection
Rationale:
A client with a gunshot wound is at risk for infection because the wound is severe and caused by trauma. The other nursing diagnoses may or may not be appropriate for the client at this time.
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When collecting data on a clients culture, the nurse will as questions regarding the client's Standard Text: Select all that apply
1. Language preference 2. Religion 3. Cultural relationship between healthcare provider and client 4. Anxiety 5. Explanation of the illness
As an immediate treatment for epistaxis, the nurse should give the following instructions:
1. "Stand still, lean your head backward so that the blood won't get all over every-thing, and pinch your nose shut for at least 10 minutes." 2. "Stand still, lean your head forward, and pinch your nose tightly for at least 10 minutes." 3. "Sit down on a solid surface, lean your head forward to let the blood run out, and then pinch your nose closed for at least 30 minutes." 4. "Sit down on a solid surface, lean your head forward so that you don't choke on the blood, and pinch your nose shut for at least 10 minutes."
An individual is subjected to chronic uncontrollable stress. What will be the effect on the client's health if a moderate acute stressor is experienced?
A) None; more important is the number of daily stressors. B) Acute stressors are often insignificant in terms of general health. C) Only chronic stressor impact health. D) An acute stressor can contribute to illness.
The nurse in the prenatal clinic will tell the client at 38-weeks' gestation to lie on her left side when the client complains of which of the following? Note: Credit will be given only if all correct and no incorrect choices are selected
Select all that apply. 1. Nausea 2. Pallor 3. Clamminess 4. Constipation 5. Dizziness