After an assessment of a client, a nurse determines that the extremities are cool and pale. An appropriate nursing diagnosis is:
A. Impaired skin integrity
B. Altered tissue perfusion
C. Fluid volume deficit
D. Altered nutritional state
B
B. Altered tissue perfusion would be associated with decreased circulation leading to cool and pale skin with capillary refill >2.5 seconds.
A. Impaired skin integrity would be associated with a breakdown in the skin surface.
C. Fluid volume deficit would be demonstrated with dry skin with tenting.
D. Altered nutritional state can refer to both more than body requirements or less than body requirements.
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Luci, an RN, arrives at work. The nurse manager tells her that the ICU needs more help and as Luci is the most experienced RN on this unit, she is being reassigned to work in the ICU for the day
Luci tells the nurse manager that although she is the most experienced, she has never worked in the ICU. She shares her concerns with the nurse manager regarding the lack of familiarity with the technical equipment and protocols of the ICU. The nurse manager states that she understands Luci's concern and reluctance, however, Luci is to go to the ICU. The most appropriate action Luci should take is to: A) Refuse to go to the ICU. B) Go to the ICU and tell the charge nurse that she is ill and needs to go home. C) Go to the ICU and inform the charge nurse of the tasks she is able to perform and those tasks with which she feels she needs assistance. D) Call the nurse manager's supervisor and report her for unsafe delegation.
What is the disciplinary conference?
A) Is generally a highly charged emotional event, so the manager should try to soften criticisms to reduce the employee's defensiveness B) Should be scheduled in advance at a time agreeable to both the employee and the manager C) When held in front of peers and patients can be used as a teaching tool for all the staff regarding unit expectations D) Requires the manager to adopt nurturing and counseling roles
For children who do not have a matched sibling bone marrow donor, the therapeutic management of aplastic anemia includes what intervention?
a. Antibiotics b. Antiretroviral drugs c. Iron supplementation d. Immunosuppressive therapy
Establishing clear criteria for sample eligibility is done to
a. improve studies by enhancing precision in sample selection. b. make sure no relevant populations are excluded. c. increase the sample size. d. decrease the sample size.