Which client is appropriate for an early discharge at 24 hours after delivery?
A. Multipara, has had two successful breast feedings
B. Primipara, bottle-feeding, has not voided since delivery
C. Multipara, twins delivered at 35 weeks, bottle-feeding
D. Primipara, cesarean birth performed for fetal distress
A
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An older adult with Lewy body dementia lives with family. After observing multiple bruises, the home health nurse talked with the daughter, who became defensive and said, "My mother often wanders at night. Last night she fell down the stairs."
Which nursing diagnosis has priority? a. Risk for injury related to poor judgment, cognitive impairments, and inadequate supervision b. Wandering related to confusion and disorientation as evidenced by sleepwalking and falls c. Chronic confusion related to degenerative changes in brain tissue as evidenced by nighttime wandering d. Insomnia related to sleep disruptions associated with cognitive impairment as evidenced by wandering at night
A 28-year-old female client was admitted 3 days ago after she ran nude through the streets shouting that she was the "Queen of Hearts."
Since admission, the client remains delusional, shouts obscenities, and demonstrates loosely asso-ciated thoughts. Based on these data, the nurse should develop a nursing diagnosis of: 1. Risk for violence 2. Defensive coping 3. Disturbed thought processes 4. Impaired memory
Which of the following statements about defamation are true? (Select all that apply.)
a. Defamation refers only to the spoken word. b. Defamation is a communication that damages a person's reputation. c. Defamation must be heard or seen by at least one other person. d. The plaintiff is not required to prove damages. e. The communication must be proven false and made with malice.
A nurse works with a patient to establish outcomes but believes that one outcome suggested by the patient is not in the patient's best interests. What is the nurse's best action?
a. Remain silent. b. Educate the patient that the outcome is not realistic. c. Explore the consequences if the outcome is achieved. d. Formulate an appropriate outcome without the patient's input.