When doing a shift assessment on a newly admitted patient, the nurse notes lack of hair on the right lower extremity; thickened nails on the right lower digits; dry, flaky skin on the right lower extremity; and diminished tibial pulses bilaterally
and absent pedal pulses. What nursing diagnosis should this patient receive?
A) Risk for peripheral neurovascular dysfunction
B) Activity intolerance related to pain and claudication with ambulation
C) Altered tissue perfusion, arterial related to reduced blood flow
D) Pain related to decreased blood flow and altered tissue perfusion
C
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A client is being discharged home after a large myocardial infarction and subsequent coronary artery bypass grafting surgery. The client's sternal wound has not yet healed
What statement by the client most indicates a higher risk of developing sepsis after discharge? a. "All my friends and neighbors are planning a party for me." b. "I hope I can get my water turned back on when I get home." c. "I am going to have my daughter scoop the cat litter box." d. "My grandkids are so excited to have me coming home!"
An operating room nurse is assisting with the positioning of a 78-year-old female patient on the operating table prior to the patient's abdominal surgery. Which of the following actions should the nurse prioritize?
A) Keeping the patient cool to prevent operative hyperthermia B) Supporting the neck and head to prevent postoperative neck pain C) Placing the patient supine to maximize respiratory status D) Protecting the patient's skin integrity by padding bony prominences
Three ways leaders can use power positively to promote success:
a. communication, rewards, advancement b. collaboration, quality, and leadership succession planning c. expertise, pragmatism, communication d. organization, social justice, listening
A client with urinary incontinence asks the nurse what contributed to the development of the incontinence. The nurse decides the client needs more instruction when the client states which of the following?
1. "Incontinence is a result of my increasing age.". 2. "A disturbance of my bladder is a factor in the development of incontinence.". 3. "Relaxation of pelvic muscles may be a factor in incontinence.". 4. "Reduced urethral resistance can be a cause of incontinence.".