The nurse is caring for an older adult client with cholecystitis. The client has been admitted to the hospital for diagnostic testing and pain control. Which nursing diagnosis would be a priority for this client?
A) Anxiety
B) Risk for Infection
C) Impaired Comfort
D) Imbalanced Nutrition: Less than Body Requirements
Answer: B
All of these diagnoses are appropriate for the client with gallbladder disease. However, because the elderly client does not have as effective an immune system as younger clients, the nurse should prioritize care around preventing infection in this client.
You might also like to view...
A person's personal traits are defined by some of these factors (name two) ___________________
ANS:
The nurse is caring for a critically ill patient on mechanical ventilation. The physician identifies the need for a bronchoscopy, which requires informed consent
If the physician were to obtain consent from the patient, the patient must be able to: a. be weaned from mechanical ventilation. b. have knowledge and competence to make the decision. c. nod his head that it is okay to proceed. d. read and write in English.
The school nurse has sent four children home with head lice in one morning. The nurse writes a note for all the students to take home to their parents containing information about head lice and how to treat them
What is an important instruction the nurse should include in the note being sent home to parents? A) To follow the enclosed staggered treatment schedule in treating their children's hair B) Lindane may be toxic to the central nervous system when used more frequently or for longer periods of time than specified in the package insert. C) To be sure and treat combs, brushes, and hats so the children can continue to share them D) To work hard to improve the cleanliness in the home
For his age, what are his growth chart percentiles?
A mother brings in her 3-year-old son for a well-child check-up. She is concerned that he seems different in size from all of the other preschool boys. He was the product of an uneventful pregnancy and vaginal delivery. He has hit all of his developmental milestones on time. On examination he is 26 lbs (11.8 kg) and is 35 inches (89 cm) tall. Otherwise his examination is unremarkable. You give the correct education for his age and then discuss his size. A) Tall and heavy for his age (>95%) B) Average height and weight for his age (5 to 95%) C) Small and light for his age (<5%)