Which of the following is a priority nursing diagnosis for a client experiencing the skin infection cellulitis?
1. Disturbed Sleep Pattern related to skin infection
2. Social Isolation related to skin infection
3. Powerlessness related to inability to control the infection
4. Acute Pain related to skin infection of cellulitis
4. Acute Pain related to skin infection of cellulitis
Rationale:
Clients with cellulitis experience pain at the local site. Controlling the pain is the priority nursing diagnosis for this client. Disturbed sleep pattern may not apply unless the client is in pain. Social isolation and powerlessness may or may not apply, but would have lower priority than the physiological need.
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Which findings demonstrate achievement of desired outcomes related to sleep improvement? Select all that apply
a. Ability to resume sleep after awakening b. Patient's perception of improvement c. Decreased time falling asleep d. Fewer than 5 hours of sleep e. Dependence on sleep aids f. Fewer awakenings
The nurse is caring for a patient with active GI bleeding. Estimated blood loss is 1,000 mL. Which of the following assessments would the nurse expect to find with this amount of blood loss?
a. all vital signs would expect to be normal with this amount of blood loss. b. oral temperature of 103°. c. heart rate 125 beats per minute. d. systolic blood pressure of 120 mm Hg.
The nurse is reviewing prenatal assessment data for several clients. Which one would be most likely to receive a genetic amniocentesis?
1. 25-year-old primipara 2. 40-year-old primipara 3. 30-year-old multipara 4. 28-year-old who conceived after taking fertility drugs
U-100 on the label of a bottle of insulin means that there are 100 units of insulin in 1 mL of
medication. Indicate whether the statement is true or false