For a client after nephrectomy and based on the location of the incision, the nurse would formulate the nursing diagnosis of
a. Acute Pain related to surgery
b. Anxiety related to long-term outcome
c. Risk for Impaired Skin Integrity related to immobility
d. Risk for Injury: Postoperative Complications related to surgical procedure
D
Deep breathing and coughing are difficult for the post-nephrectomy patient because the incision is very close to the diaphragm. This puts the client at high risk for respiratory complications. The other options are possible diagnoses, too, but are not related to the location of the incision.
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A nurse is providing discharge education for a client diagnosed with iron deficiency anemia. Which statement by the client would indicate a need for further education?
1. "I will take my ferrous sulfate tablet on an empty stomach.". 2. "I will take my ferrous sulfate tablet with my breakfast.". 3. "I will eat oatmeal for breakfast while I am taking my ferrous sulfate.". 4. "I will increase my fluid intake while I am taking my ferrous sulfate.".
A pH of less than which of the following would indicate acidosis?
1. 7 2. 7.35 3. 7.45 4. 7.59
The outpatient health care data show a notable increase in asthma over the numbers treated the previous year. Which of the following actions should the public health nurse take first? (Select all that apply.)
a. Analyze educational health programs offered to the public last year. b. Congratulate the public health staff on the success of their asthma awareness program. c. Determine whether there are any other data sources that might confirm or dispute the apparent increase in asthma. d. Review data with the outpatient clinic staff such as confirming repeat visits versus newly diagnosed cases.
A client is emerging from anesthesia following ECT. The client is agitated and incoherent. The nurse may expect to administer which medication to stabilize these symptoms?
A) Diazepam B) Brevital C) Robinul D) Caffeine