A client recovering from total hip replacement surgery is experiencing pain exacerbated with movement and tells the nurse, "I have no idea how I can return home since I live alone.". The client's BMI is 35
Which of the following nursing diagnoses would be a priority for this client? 1. Ineffective Coping
2. Pain
3. Imbalanced Nutrition: More than Body Requirements
4. Impaired Physical Mobility
2. Pain
Rationale:
Unless the client's pain is controlled, the client will not be able to participate in interventions to address the impaired physical mobility. The diagnoses of ineffective coping and imbalanced nutrition can be dealt with after pain and impaired physical mobility have been addressed.
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A patient diagnosed with chronic bronchitis has the nursing diagnosis Ineffective Airway Clearance related to inadequate cough and excess mucus production
Which intervention would the nurse evaluate as being of the least value in addressing the nursing diagnosis? 1. Check the pulse oximetry reading. 2. Increase fluid intake up to 2 liters/day. 3. Suction the patient. 4. Provide chest physiotherapy.
Which of the following is true about sleep cycles in older adults?
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A nurse is using telehealth technology in the home setting. Which of the following best describes the intervention that is being used by the nurse?
a. Uses Web TV to teach clients about their health b. Shares health information using electronic communications c. Makes regular visits to clients to check the technology d. Risks violation of the Health Insurance Portability and Accountability Act