The nurse is working with the family of a 5-year-old child with spina bifida. The nurse partners with the family to plan goals of care. An appropriate goal for this child and the family would be for the parents to:
1. Refuse a wheelchair for the child, to motivate the child to learn to walk.
2. Verbalize their frustrations to the nurse.
3. Accept the school district's individualized transition plan (ITP).
4. Alternately assume care for the child 24 hours a day, 7 days a week.
2
Rationale:
1. A child with spina bifida requires a wheelchair for mobility.
2. The nurse can assist the parents to talk through their frustrations.
3. The ITP assists adolescents with chronic conditions to transition from school to a vocation and independent living.
4. Parents will suffer caregiver burnout if they have no respite from caregiving and no special time with each other.
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A) Good nutrition B) Stress reduction C) Use of vitamins D) Screening for health risks
Which of these terms describes the presence of blood within the pleural space?
a. hemothorax c. pleuritis b. pleural effusion d. pneumothorax
The nurse is completing a home care visit of an 86-year-old client. The client lives alone and is independent in activities of daily living. During your visit, you notice a red mark on the arm of the client
The client states she was unaware of the injury and it may have occurred from hot water when cooking. Your interpretation of this finding is that the client is A) losing short-term memory. B) experiencing friction tears of the skin. C) at risk for further injury. D) experiencing senile purpura in the skin.
The client's weight is appropriate for his height. His laboratory values and other assessments reflect normal nutritional status. However, he has told the nurse, "I probably eat a little too much red meat
And what is this I hear about needing omega 3 oils in my diet? I don't like to take supplements, and I think I could really improve my nutrition." Which of the following nursing diagnoses should the nurse use? a. Balanced Nutrition b. Possible Imbalanced Nutrition: Less Than Body Requirements c. Risk for Imbalanced Nutrition: Less Than Body Requirements d. Readiness for Enhanced Nutrition