The home health nurse is caring for an older adult woman living alone at home who is incontinent of urine and changes her adult diaper daily. Which of the following nursing diagnoses is the most appropriate for this client?
A) Risk for activity intolerance
B) Risk for impaired skin integrity
C) Risk for infection
D) Risk for falls
Ans: B
A client who is incontinent, utilizes adult diapers, and only changes them daily is at Risk for Impaired Skin Integrity in the genital and perineal area.
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The nurse knows that an adolescent may find making a career choice difficult because there is less clarity in ______________ roles
ANS:
A male newborn infant has been diagnosed with spina bifida occulta. Which of the following pathophysiological processes has most likely contributed to the infant's health problem?
A) The neural groove failed to fuse and completely close across the top of the neural plate. B) The infant's spinal cord and meninges protrude through his skin. C) The child's central and peripheral nervous systems have insufficiently differentiated during embryonic development. D) The infant's soma and viscera are underdeveloped.
A patient is scheduled to have a descending colostomy. He's anxious, and has many questions concerning the surgery, the care of a stoma, and lifestyle changes
It would be most appropriate for the nurse to refer the patient to which member of the health care team? A) Social worker B) Registered dietitian C) Occupational therapist D) Enterostomal nurse therapist
Which skill emphasizes that communication becomes clear through the use of techniques such as restating and questioning?
a. clarifying b. confronting c. commenting d. attending