A client, receiving home care and recovering at home from a fall, tells the nurse that he "feels bad" that he has to have his daughter do so much to help him. The nursing diagnosis appropriate for the client at this time would be:
a. anxiety. c. activity intolerance.
b. situational low self-esteem. d. ineffective health maintenance.
ANS: B
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A PACU nurse is discharging a patient home after having surgery for trigeminal neuralgia. The nurse stresses to the patient not to rub the eye on the side affected by the neuralgia. Why would the nurse do this?
A) There is a perceptual deficit to the affected side of the face. B) The affected eye has no tears. C) There is a sensory deficit to the affected side of the face. D) The affected eye needs a shield.
Which of the following explains the difference between primary hemostasis and secondary hemostasis? Select all that apply
1. Primary hemostasis is characterized by vascular contraction. 2. Primary hemostasis is characterized by platelet adhesion. 3. Primary hemostasis is the stage in which a soft aggregate plug is formed. 4. Secondary hemostasis is responsible for stabilizing the soft clot and maintaining vasoconstriction. 5. The coagulation cascade is activated during primary hemostasis.
Which of the following values for a fasting blood sugar (FBS) is a normal range?
1. 55 to 70 mg/dL 2. 70 to 110 mg/dL 3. 110 to 140 mg/dL 4. 140 to 160 mg/dL
A nurse has been assigned as team leader for the day and is working with two LPNs and two unlicensed personnel. What should the nurse do to ensure success in caring for patients?
a. Give the assignments for the day out to the team and plan to meet right before the end of shift. b. Continuously communicate with the members of the team throughout the entire day. c. Report changes in a patient's condition to the health care provider only. d. Revise each patient's plan of care once a shift.