What is the priority nursing diagnosis when providing care to a client who has a temporary or permanent severe visual impairment?
A. Risk for Injury
B. Chronic Confusion
C. Risk for Loneliness
D. Disturbed Body Image
A
A client with a visual impairment who is in a new environment is at greatly increased risk for injury because of unfamiliar surroundings.
You might also like to view...
When the sympathetic nervous system is stimulated, the interstitial cells of Cajal, pacemaker cells of the GI tract, react by
A) decreasing amplitude or abolishing the slow waves that control the spontaneous oscillations in membrane potentials. B) increasing the peristaltic motion of the GI tract, thereby causing explosive diarrhea. C) increasing the amount of secretions being entered into each segment of the intestinal tract. D) signaling the vagus nerve to slow down motility and increase absorption of water from the large intestine.
A pregnant woman who has undergone genetic testing informs the nurse that her fetus has Down syndrome. The nurse understands that Down syndrome is an example of:
A) Multifactorial inheritance B) X-linked recessive inheritance C) Trisomy numeric abnormality D) Chromosomal deletion
A client comes to the emergency department in obvious distress, holding his groin. He refuses to get undressed to be examined. Which statement or question by the nurse is most appropriate?
a. "I'll leave the room if that makes you feel better. When you are undressed, put on the call light." b. "If you don't let us examine you to see what the problem is, you may lose blood supply to your genital area." c. "No one can help you if we can't see what's going on. So please take off your clothes." d. "Sometimes men get painful erections that won't go away or problems with their testicles. If that's the problem, we can help you."
The Cushing triad includes:
a. tachycardia. b. irregular respirations. c. tachypnea. d. constricted pupils.