The nurse is preparing discharge instruction for a client who is going home with a surgical wound on the coccyx that is healing by secondary intention. What is the priority nursing diagnosis that should guide the discharge instruction plan?
A. risk for deficient fluid volume
B. risk for infection
C. disturbed body image
D. acute pain
Answer: B. risk for infection
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The nurse recognizes the echocardiogram report that shows an ejection factor of 42% as an indication of:
a. normal heart action. b. mild heart failure. c. moderate heart failure. d. severe heart failure.
Preoperative nursing responsibilities for a child having surgery include which of the following? (Select all that apply.)
a. Prepare for separation from caregivers. b. Complete presurgery assessment. c. Provide beverage or bottle 1 hour prior. d. Obtain vital signs. e. Assess operative site. f. Observe for shock. g. Check dressing for bleeding or drainage.
An older adult client shares with the nurse that, "I don't know what it is but it seems that I need more light for reading or even watching television as I get older." The nurse explains that aging may cause this change due to the:
a. slower ability of the pupil to adjust to changes in lighting. b. impact arcus senilis has on visual acuity c. flattening and thinning of the cornea. d. retinal changes that begin to occur with aging.
The information technology department is reviewing the healthcare-information-security system in place. Which should be kept in mind when reviewing the purpose of this security system? Select all that apply.
A) Enhanced overtime B) Saving time and money C) Guarding against cybercrime D) Preventing breaches in confidentiality E) Regarded as a form of insurance against downtime