The nurse is making a home visit to an older adult who has severe rheumatoid arthritis with flexion contractures of all four extremities. He is confined to bed. What nursing diagnosis is appropriate in relation to safety?
a. Risk for poisoning c. Risk for trauma
b. Risk for suffocation d. Risk for disuse syndrome
ANS: D
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The client tells the nurse that she has been having frequent nosebleeds and bruising. Which of the following types of deficiencies do these findings suggest to the nurse?
a. Vitamin A c. Vitamin C b. Vitamin B d. Vitamin K
The nurse would recognize the need for additional teaching in a postoperative posterior hip replacement client when which of the following activities was observed. The client:
1. Used a regular-height toilet seat. 2. Used the abductor pillow while in bed. 3. Kept the affected leg and foot turned upright while in bed. 4. Kept the operative leg straight when getting out of bed, while using the arms to push up.
A community/public health nurse tried to keep the community informed of the progress of the new health programs at all the meetings that the nurse attended. Which of the following would be the reason for the nurse's ongoing communication?
a. To avoid community dissatisfaction when expectations are not met b. To be sure that no one blames the nurse when unexpected happenings occur c. To fulfill the responsibility of keeping the community informed d. To be politically and culturally sensitive to the needs of the community
The nurse is interviewing a male client about his past medical history. Which preexisting condition may lead the nurse to suspect that a client has colorectal cancer?
A. Duodenal ulcers B. Hemorrhoids C. Weight gain D. Polyps