For a client who is unable to adequately perform personal daily care, which of these nursing diagnoses would be applied?
a. Infection, risk for c. Pain
b. Knowledge deficit d. Self-care deficit
D
The main nursing diagnoses that relate to safety and hygiene are Risk of injury and Self-care deficit. A self-care deficit exists when an individual is not able to adequately perform activities of daily living (ADLs).
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The nurse is caring for a 35-year-old woman taking a beta-hydroxy-beta-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitor to lower serum lipid levels
When teaching this patient about her medications what priority teaching point will the nurse include in the teaching plan? A) Need for frequent ophthalmic examinations B) Information about a cholesterol-lowering diet C) Use of barrier contraceptives D) Calling her doctor with any respiratory symptoms
The nurse has to administer Sublimaze (fentanyl citrate) 60 mcg IM 30 minutes prior to surgery. The medication is available as Sublimaze (fentanyl citrate) 50 mcg/mL. How many milliliters of medication would the nurse draw up in the syringe?
A) 1 B) 1.1 C) 1.15 D) 1.2
At which point in life could you anticipate the parents of a child with a long-term illness might have the hardest time accepting her condition?
A) The day she starts preschool B) On her third birthday C) The day she begins solid food D) The day she would have started college
A patient is being discharged to home after receiving a liver transplant
What can the nurse instruct the patient and family to reduce the risk of developing an infection? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Wash hands before eating and after using the bathroom. 2. Wear a mask when in a crowd for the first few months post-transplant. 3. Remove plants and flowers in vases from the home. 4. Wash, peel, and cook all fruits and vegetables. 5. Obtain vaccinations with live vaccines.