Which nursing diagnosis is most appropriate for a patient having ear surgery?
a. Disturbed body image
b. Risk for injury
c. Acute confusion
d. Ineffective protection
B
Patients who have had ear surgery are at risk for vertigo, fluid accumulation, or pressure in the operative ear. Because of the surgery and potential postoperative conditions, the patient may be at risk for a fall.
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What is the primary function in the immune process of the spleen?
a. Filter microorganisms from the blood. b. Store lymphocytes used to fight infec-tions. c. Produce additional RBCs (red blood cells). d. Stimulate WBC production.
A nurse is implementing relapse management. Which of the following interventions would most likely be used by the nurse?
a. Use a holistic view of the system b. Identify triggers c. Understand the individual's personality d. Provide crisis intervention
An emollient is a drug used to:
a. dry the skin. c. moisturize the skin. b. debride a wound. d. remove keratin.
A home health nurse is caring for a disabled 80-year-old client who lives with her son and his family. The client has injuries that are inconsistent with the history presented
When assessing the client and the client's situation, which factors should the nurse identify that increase the likelihood of this being a case of elder abuse? Select all that apply. A) The daughter-in-law states she is overwhelmed with work demands and caring for her mother-in-law. B) The son states the he just received a salary increase at work. C) The client states her deceased husband had a quick temper and was abusive. D) The son has a recent arrest for driving under the influence.