The nurse is caring for a patient scheduled for abdominal surgery in the morning
The patient confides that he or she watched a movie last week about someone who had surgery and the anesthetic did not work, but no one knew because that patient could not move. What nursing diagnosis will the nurse include in this patient's plan of care? A) Alteration in fluid volume
B) Deficient knowledge regarding drug therapy
C) Fear related to paralysis
D) Risk for skin impairment
C
Feedback:
Nursing diagnoses related to drug therapy may include Fear related to paralysis. This care plan would not include alteration in fluid volume; deficient knowledge regarding drug therapy; or risk for skin impairment.
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Which of the following statements most accurately captures the function of the ascending loop of Henle?
A) Urine is concentrated by the selective absorption of free water in the ascending limb. B) Sodium and water are reabsorbed in equal amounts, reducing filtrate quantity but maintaining osmolality. C) The majority of solute and water reabsorption occurs in the ascending loop of Henle. D) Impermeability to water and absorption of solutes yields a highly dilute filtrate.
An Asian teenager is admitted with an eating disorder which she contributes to by not meeting the academic expectations of her parents. The nurse is overheard saying, "That isn't the reason; all Asians are really smart." This nurse is demonstrating:
a. cultural humility. b. stereotyping. c. cultural assimilation. d. acculturation.
When assessing the patient's edema of the lower extremities, the nurse notes that it takes 3 minutes before the indentation created by applying pressure above the ankles disappears
This information should be documented as being which type of pitting edema? 1. +4 2. +3 3. +2 4. +1
Which assessment finding for a patient who has had a surgical reduction of an open fracture of the right radius is most important to report to the health care provider?
a. Serous wound drainage b. Right arm muscle spasms c. Right arm pain with movement d. Temperature 101.4° F (38.6° C)