The nurse is contributing to a patient's plan of care for a patient who has an elevated international normalized ratio (INR). Which of these nursing diagnoses should the nurse recommend receive priority in the patient's care plan?
a. Acute Pain
b. Ineffective Breathing Pattern
c. Risk for Injury
d. Risk for Infection
ANS: C
The patient is at risk for injury due to a high INR, which indicates the patient is at risk of bleeding.
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Which of the following would the nurse include when teaching a new mother about the difference between pathologic and physiologic jaundice?
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A description of denotation is
a. a personalized meaning of a word or phrase. b. a generalized meaning assigned to a word. c. a meaning shared by families. d. a meaning generally shared within a specific culture.
The nurse is educating a patient about testicular self-examination. Which information is most important for the nurse to include?
a. Report any lumps larger than a pea to the health care provider. b. Perform weekly self-examinations on the same day of the week. c. Perform self-examinations after bathing when scrotal skin is relaxed. d. Pinch skin for at least 5 seconds.