The client exhibits confusion, decreased capillary refilling time, low oxygen saturation readings, and decreased renal output. What NANDA nursing diagnosis problem statement would the nurse choose for this client?
A)
Decreased Cardiac Output
B)
Risk for Injury
C)
Activity Intolerance
D)
Ineffective Tissue Perfusion
D
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A patient is diagnosed as having elevated cholesterol level. The nurse is aware that plaque on the inner lumen of arteries is composed chiefly of:
A) Lipids and fibrous tissue B) WBCs C) Lipoproteins D) High-density cholesterol
Upon entering the room of a 74-year-old client receiving brachytherapy for cervical cancer, you find the radiation implant and the position-holding device in the client's bed. What is the nurse's first best action?
A) Assess the client's mental status. B) Use tongs to place the implant in the radiation container. C) Notify the physician and move the client to a different room. D) Don gloves and attempt to reposition the implant and positioning device.
A patient has a skin infection over the inner aspect of the left thigh
The nurse would anticipate finding enlargement when palpating which lymph nodes? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Inferior inguinal 2. Superior inguinal 3. Preauricular nodes 4. Supraclavicular nodes 5. Axillary nodes
The nurse notes the client's respiration rate is 14 per minute and the expiration phase is the same length as the end-inspiration phase. Which term should the nurse use to document the findings?
A. Obstructive breathing. B. Respiratory distress. C. Bradypnea. D. Eupnea.