The nurse is caring for a child with leukemia. Which nursing intervention would be the highest priority for this child?
A) Encouraging the child to share feelings
B) Grouping nursing care
C) Following guidelines for protective isolation
D) Providing age-appropriate activities
Ans: C
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The perinatal nurse explains to the new graduate nurse that fear and anxiety have physiological consequences in labor. The nurse is referring to what physiological process?
A. Diminished effectiveness of contractions B. Faster, more intense labor and delivery C. Increased release of maternal endorphins D. More tissue trauma due to hurrying the delivery
Which describes the older man who is likely to experience the best overall health and well-being?
a. Resides in assisted-living facility, watches television alone, uses herbal remedies, is underweight b. Resides alone, was moved to a new city recently by his family members for their convenience, has osteoarthritis c. Has prostate cancer with metastasis to the lungs, is receiving radiation therapy, is wealthy, has a large family d. Uses a wheelchair, has peripheral arterial disease, attends weekly baseball games with three friends
The patient admitted with a diagnosis of Alzheimer's disease is anxious and dehydrated, has reportedly not been eating, and has had a weight loss of 5 lb in 1 week. Which of the following nursing diagnoses is a priority?
a. Fluid volume deficit related to fluid loss b. Altered nutrition: Less than body requirements related to anorexia c. Fluid volume excess related to reduced urine output d. Risk for impaired skin integrity
The nurse monitors the client in labor for signs and symptoms of water intoxication. Which finding indicates that this may be occurring?
a. Hypotension b. Rales and wheezes c. Slow shallow breathing d. Tachycardia