When providing care to a child with aplastic anemia, which nursing diagnosis would be the priority?
A) Risk for injury
B) Imbalanced nutrition, less than body requirements
C) Ineffective tissue perfusion
D) Impaired gas exchange
Ans: A
For the child with aplastic anemia, safety is of the utmost concern, with injury prevention essential to prevent hemorrhage. Nutrition, tissue perfusion, and gas exchange may or may not be associated with the child's condition.
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Which of the following would characterize the public health stage of community health nursing?
A) Voluntary health agencies emphasizing disease prevention B) Family is considered the primary unit of care C) Service is provided to the sick poor population D) Primary health care as the key to health for all
Which of the following patients would be at greatest risk in a healthcare visit (select all that apply)?
a. Clyde requires an anticoagulant. He tells the nurse about his medications. He does not include an herbal supplement. b. George is very shy and withdrawn. He asks the nurse to leave him alone. c. Sarah is a new parent who finds that nurses on the children's unit are very helpful. She is eager to accept all suggestions, including those that she does not yet understand. d. Claude is booked for bowel surgery. His doctor explains about the colostomy. Later, Claude tells his wife that he really doesn't know what the doctor meant by colostomy.
The nurse observes an infant interacting with his parents. What are normal social behavioral developments for this age group? Select all that apply
A) Around 5 months the infant may develop stranger anxiety. B) Around 2 months the infant exhibits a first real smile. C) Around 3 months the infant smiles widely and gurgles when interacting with the caregiver. D) Around 3 months the infant will mimic the parent's facial movements, such as sticking out the tongue. E) Around 3 to 6 months of age the infant may enjoy socially interactive games such as patty-cake and peek-a-boo. F) Separation anxiety may also start in the last few months of infancy.
A client who fell at home is hospitalized for a hip fracture. The client is in Buck's traction, anticipating surgery, and reports pain as "2" on a pain intensity scale of 0 to 10. The client also exhibits moderate anxiety and moves restlessly in the bed. The best nursing intervention to address the client's anxiety is to
a) Assess the reason for the client's anxiety. b) Administer the prescribed alprazolam (Xanax). c) Assist the client out of bed and into a chair. d) Administer the prescribed dose of morphine.