An appropriate nursing diagnosis to guide self-care teaching for a client who has lymphedema is
a. Impaired Adjustment.
b. Risk for Disuse Syndrome.
c. Risk for Fluid Volume Excess.
d. Risk for Infection.
D
The client with lymphedema is at high risk for infection.
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A client has a potassium level of 3.2 mmol/L. What should the nurse expect when assessing this client? (Select all that apply.)
a. Hypotension b. Normal sinus rhythm c. Increased serum calcium levels d. Complaints of muscle weakness e. Serum glucose level of 225 mg/dL
A subjective response that occurs when a person experiences a threat to well-being is called
a. a stressor c. anxiety b. stress d. adaptation
The nurse and a licensed practical/vocational nurse (LPN/LVN) are working together to care for a patient who had an esophagectomy 2 days ago. Which action by the LPN/LVN requires that the nurse intervene?
a. The LPN/LVN uses soft swabs to provide for oral care. b. The LPN/LVN positions the head of the bed in the flat position. c. The LPN/LVN encourages the patient to use pain medications before coughing. d. The LPN/LVN includes the enteral feeding volume when calculating intake and output.
The level of risk for coronary artery disease for a client with a serum cholesterol level of 270 mg/dl is _____ risk
a. low b. moderate c. high d. no