A client in chronic renal failure can have total body edema called anasarca. What is an appropriate nursing diagnosis related to anasarca?
a. Risk for falls
b. Ineffective coping
c. Risk for altered skin integrity
d. Altered nutrition: more than body requirements
c
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Which client would be in particular need of a closed airway suctioning system?
1. The client post-bone marrow transplant 2. The postoperative client 3. The client with a long-term tracheostomy on 25% oxygen via mask 4. The client with excessive oral secretions
Which of the following characteristics shows the greatest gestational maturity?
a. Few rugae on the scrotum and testes high in the scrotum b. Infant's arms and legs are extended c. Some peeling and cracking of the skin d. The arm can be positioned with the elbow beyond the midline of the chest
The nurse is reviewing nursing documentation related to the care of a client who had an amniocentesis. Which nursing note reflects appropriate client care?
1. Prior to discharge, the client demonstrated vaginal spotting. 2. An Rh-positive client received RhoGAM after the amniocentesis. 3. The client was monitored for 30 minutes after completion of the test. 4. The client reported that she takes insulin before each meal and at bedtime.
A child brought to the emergency department is exhibiting significant signs of hypovolemic shock for which intravenous therapy is prescribed
The physician is unable to obtain intravenous access and decides to use intraosseous access. The nurse would prepare which site to be used? A) Proximal tibia B) Distal radius C) Patella D) Femur