What is the priority nursing diagnosis for the 50-year-old client with advanced breast cancer and bone metastasis?
A. Acute Pain
B. Impaired Mobility
C. Risk for Infection
D. Imbalanced Nutrition: Less than Body Requirements
A
Bone metastasis can cause intense, continuous pain that disrupts the client's activities and sleep and decreases the client's quality of life. This problem should be managed ahead of all other problems.
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A 24-year-old college student has presented to the campus medical clinic with complaints of frequent, burning urination and has, subsequent to urinalysis, been diagnosed with an acute lower urinary tract infection (UTI) caused by E. coli. What teaching will the clinician most likely provide to the student?
A) "This should likely resolve itself if you drink a lot of water and especially cranberry or blueberry juice." B) "Unfortunately, the bacteria causing your infection is no longer responsive to antibiotics, but there are alternative treatments that we can use." C) "Many of these bacteria are now resistant to some antibiotics, but I will take that into account when I choose which antibiotic to prescribe." D) "This likely shows that you have some sort of obstruction in your urinary system, so when that is treated your UTI will likely resolve as well."
The nurse is inspecting the tonsils of a client that complaints of a sore throat for size and appearance. What is the appropriate documentation for an observation of tonsils that touch the uvula?
A) 1 B) 2 C) 3 D) 4
An adolescent has been diagnosed with conversion disorder and is being seen in the local mental health clinic. The client's mother asks the nurse what the prognosis for this disorder is. What would be the nurse's best response?
A) "Unfortunately, this disorder tends to recur in times of severe stress." B) "Most clients recover in 2 to 4 weeks without reoccurrence." C) "Most clients recover in 8 to 12 weeks without reoccurrence." D) "Unfortunately, most patients never truly recover from this disorder."
A nurse is having difficulty keeping up with the six assigned patients and serving on the ethics committee. In order to take charge of both personal and work life, the nurse focuses on improving physical energy by: (Select all that apply.)
a. telling herself, "I provide safe quality care and will provide this level of care to all my patients." b. taking a deep breath and remaining calm to develop patience. c. keeping a bottle of water available to consume a minimum of 24 ounces each shift. d. going into the nurse's break room every 90 minutes to eat a healthy snack and prioritize remaining care. e. enrolling in the hospital's fitness program, Nurses Need Nurturing.