The nurse is planning care for a client who receives peritoneal dialysis. Which nursing diagnosis will the nurse determine is priority?
A. Knowledge deficit
B. Risk for infection
C. Impaired skin integrity
D. Fluid volume excess
Answer: B
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The nurse is analyzing his own values in order to increase self-awareness and respect the values of clients. The values clarification process includes which of the following steps?
a. Choosing, prizing, and acting b. Believing, questioning, and justifying c. Analyzing, planning, and implementing d. Understanding, selecting, and evaluating
A 68-year-old patient had a PCV13 pneumonia vaccination 2 years ago. Which information should the nurse provide about this vaccination?
1. "You also need a PPSV23 pneumonia vaccine." 2. "As long as your kidney function is good you do not need a second immunization." 3. "You will never need another pneumonia vaccination." 4. "You should plan to get a pneumonia vaccination every year after September."
Which symptom would be highest priority for the nurse to monitor while the client is being treated with peripheral vasodilators?
a. Bradycardia b. Dizziness c. Headache d. Pallor
A nurse in the pediatrician's office is checking the Babinski reflex in a 3-month-old infant. The nurse determines that the infant's response is normal if which finding is noted?
A. The infant turns to the side that is touched. B. The fingers curl tightly and the toes curl forward. C. The toes flare and the big toe is dorsiflexed. D. There is extension of the extremities on the side to which the head is turned, with flexion on the opposite side.