The patient's nursing diagnosis is pain associated with walking related to knee injury. The LPN/LVN should accurately identify the patient problem as
a. arthritis.
b. unwillingness to exercise.
c. need for knee brace.
d. knee pain.
ANS: D
Knee pain is the best translation given for the nursing diagnosis. Arthritis is a medical diagnosis. Unwillingness to exercise assumes information not given in the scenario. Need for a knee brace prescribes a treatment.
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For a client who has undergone functional endoscopic sinus surgery (FESS) as part of the surgical management of sinusitis, the nurse would instruct the client
a. "Don't blow your nose for 1 week." b. "Eat only semi-solid foods." c. "Lean forward when eating." d. "Limit the amount of fluids you drink."
Which is the most appropriate response for the nurse when parents say that "living with this disease our child has is really hard; it's not fair"?
a. "Tell me about what is hard for you.". b. "I know exactly how you must feel.". c. "I know a local support group for families.". d. "I am going to ask the grief counselor to meet with you.".
A school nurse is working with small groups of high school sophomores to discuss sexually transmitted diseases. The best approach to educate this age range would be:
1. To lecture, then allow for a question and answer period. 2. Having media and handouts to engage the students. 3. Having media and letting the students create information that they feel is pertinent to understand the material. 4. To provide information in handouts.
During the admission interview the client reports to the nurse that she is "a little allergic to peni-cillin."
Which of the following questions asked by the nurse is most likely to provide the most relevant information regarding the client's possible allergy to penicillin? 1. "Who told you that you are allergic to penicillin?" 2. "What makes you think you are allergic to penicillin?" 3. "Can you describe what happens when you take penicillin?" 4. "What do you take for an infection since you are allergic to penicillin?"