A diabetic client has a large wound on his right leg that has not healed in 5 months. At the first visit, the nurse should assess
A) wound care orders, cleaning methods, supportive devices, and dietary restrictions.
B) activity order restrictions and wound care orders.
C) mobility and pain.
D) routine assessment information.
C
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A patient states, "I have been trying to lose weight. I am not hungry at breakfast, so I wait until lunch to eat. I have a small lunch and then use most of my calorie allotment for dinner. Lately, I have noticed that my mood has been off
I seem to be more anxious, and my mood is lower.". Which response would be most appropriate? a. "As long as you are getting the nutrients you need, when you eat should not be affecting your mood.". b. "Perhaps you should divide your calories evenly between lunch and dinner. If your blood sugar is low, it could be responsible for feeling nervous.". c. "Eating breakfast is important. It improves mood, energy, and feelings of calm. Eating some of your calories in the morning might help your mood.". d. "You might want to talk with your doctor about using of kava kava for your depression.".
Which of these nursing diagnoses would be appropriate for a client who is experiencing moderate anxiety?
a. hopelessness c. ineffective coping b. post-trauma syndrome d. spiritual distress
A child is admitted with epiglottitis, and needs an x-ray. The nurse orders the x-ray to be done:
1. By transporting the child to the X-ray Department on a cart. 2. Portable in the unit's waiting room. 3. Portable in the child's hospital room. 4. By transporting the child to the X-ray Department in a parent's arms.
A client with metastatic breast cancer is put on monoclonal antibody therapy. Which of the following side effects should the nurse carefully monitor when caring for this client?
A) Constipation B) Anaphylaxis C) Hyperphagia D) Hypertension