A client with a new tracheostomy is being seen in the oncology clinic. What finding by the nurse best indicates that goals for the nursing diagnosis Impaired Self-Esteem are being met?
a. The client demonstrates good understanding of stoma care.
b. The client has joined a book club that meets at the library.
c. Family members take turns assisting with stoma care.
d. Skin around the stoma is intact without signs of infection.
ANS: B
The client joining a book club that meets outside the home and requires him or her to go out in public is the best sign that goals for Impaired Self-Esteem are being met. The other findings are all positive signs but do not relate to this nursing diagnosis.
You might also like to view...
A patient's low prothrombin time (PT) was attributed to a vitamin K deficiency and the patient's PT normalized after administration of vitamin K. When performing discharge education in an effort to prevent recurrence, what should the nurse emphasize?
A) The need for adequate nutrition B) The need to avoid NSAIDs C) The need for constant access to factor concentrate D) The need for meticulous hygiene
A client is brought to the emergency department by a softball team member who states the client and another player ran into each other, and the client is having severe pain in the right shoulder
What symptoms of a fractured clavicle does the nurse recognize? A) Client complains of tingling and numbness in the right shoulder. B) Right shoulder is elevated above the left. C) Client complains of pain in the unaffected shoulder. D) Right shoulder slopes downward and droops inward.
what describes a primary use of biological therapy in cancer treatment?
a. protect normal, rapidly reproducing cells of the GI system from damage during chemotherapy b. prevent the fatigue associated with chemotherapy and high dose radiation as seen with bone marrow depression c. enhance or supplement the effects of the hosts immune responses to tumor cells that produce flu like symptoms d. depress the immune system and circulation lymphocytes as well as increase the sense of well being by replacing CNS deficits
The nurse explains that the pathophysiology of a myocardial infarct is that:
a. a portion of the myocardium necroses and scars over. b. the coronary vessels are narrowed during the attack. c. the ischemic myocardium causes pain during the attack but is able to regenerate. d. damages the myocardium, but does not seriously alter cardiac output.