Which nursing diagnoses should the nurse include in the plan of care for a pediatric client who experiences a traumatic brain injury (TBI)? Select all that apply
1. Risk for Ineffective Tissue Perfusion: Cerebral
2. Risk for Aspiration
3. Risk for Imbalanced Fluid Volume
4. Compromised Family Coping
5. Chronic Pain
1, 2, 3, 4
Explanation:
1. This is an appropriate nursing diagnosis for the nurse to include in the plan of care for the client.
2. This is an appropriate nursing diagnosis for the nurse to include in the plan of care for the client.
3. This is an appropriate nursing diagnosis for the nurse to include in the plan of care for the client.
4. This is an appropriate nursing diagnosis for the nurse to include in the plan of care for the client.
5. This nursing diagnosis is more appropriate for a client diagnosed with cerebral palsy, not a TBI.
You might also like to view...
An older patient is diagnosed with an infection but has a subnormal body temperature. What should the nurse explain to the patient's family as the reason for this discrepancy?
1. The temperature regulating mechanism changes with aging. 2. The patient is on medication that drops the body temperature. 3. The diagnosis of an infection is inaccurate and will be checked. 4. The temperature was measured incorrectly and will be repeated.
The emergency room nurse is often faced with the responsibility of providing care for people who were responsible for motor vehicle accidents. In some cases, the nurse is caring for that person along with victims of the accident
This situation causes the nurse moral distress. How could the nurse best help to alleviate this distress? 1. Refuse to care for these patients in the future 2. Ask a co-worker to care for the patients 3. Remember to respect the person, not the actions of the person 4. Be frank with the patients about how uncomfortable the nurse is
A client with ischemic heart disease has an electrocardiograph (ECG) tracing that shows a PR interval of 0.24 second. What is the nurse's best action?
a. Document the finding in the chart. b. Measure blood pressure. c. Notify the health care provider. d. Administer oxygen.
An abnormally thick fluid formed in the lower respiratory tract that may contain blood, pus, or bacteria is called which of the following terms?
A. plasma B. mucus C. sputum D. lymph