Which of the following best reflects accurate documentation of a risk nursing diagnosis?
A) Risk for fatigue related to increased job demands as manifested by feelings of exhaustion and frequent naps
B) Risk for infection as manifested by lack of client knowledge of wound care
C) Risk for violence related to history of overt, aggressive acts
D) Risk for altered respiratory function related to environmental allergens as manifested by asthma
C
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What will be an ideal response?
Nurses on the midnight shift are experiencing difficulty with receiving materials from the central supply department. Last night, a patient was admitted to the unit from the emergency department with a heart dysrhythmia
The nurse requested that a temporary pacemaker kit be placed in the unit as standby in case the patient required its use. The central supply unit did not comply until the patient required its emergent use. The nurse was stressed. This is an example of what type of stress? a. Operational failures b. Overload of role c. Resistant resources d. Role conflict
A patient tells the nurse that she is "tired of having leg pain" because it "gets in the way" of enjoying the activities that she wants to do with her family. What is the nurse's best response?
1. "How does your family react when you are having the pain and can't participate in activities?" 2. "At least you are able to do regular activities around the house." 3. "Everyone has some degree of pain every day, and I'm sure your family understands." 4. "But you are still working, so you are productive."
The nurse is developing a teaching plan for a patient who has undergone bariatric surgery. Which information listed below is essential to include?
A) Drink a minimum of 90 cc of fluid with each meal. B) Eat 6 small meals daily spaced at equal intervals. C) Choose foods high in carbohydrates especially simple sugars. D) Limit calories to no more than 1800 daily.