Your client has a large surgical wound and complains of feeling self-conscious and apprehensive about appearance. Which of the following nursing diagnoses would be most appropriate?
1. Impaired tissue integrity
2. Body image disturbance
3. Hopelessness
4. Impaired skin integrity
ANS: 2
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If an error occurs as a result of delegation, the nurse is accountable for supervision, follow-up, intervention, and:
a. corrective action of the event. b. documentation of the event. c. evaluation of the process. d. summation of the occurrence.
During the physical examination of a client, the nurse notices the color of urine turn pale blue-green. The nurse, therefore, asks about the drugs that the client may have taken
Why is it important to know what drugs the client may have taken earlier? A) Because drugs may affect the outcome of urinary tract tests B) Because drugs may affect the size of the urinary bladder C) Because drugs may affect urine characteristics D) Because drugs may affect the amount of urine produced
Which option reflects a general criterion for restraining a patient?
1. The patient's inability to care for himself or herself 2. The patient's refusal to take psychotropic medications as prescribed 3. The patient's violent but nonthreatening behavior toward others 4. The patient's immediate ability to harm self or others
In the data set below, what is the mean ( )? X f 5 4 4 2 3 1 2 1 1 2
a. 4 b. 3.5 c. 3 d. 2.5