The nurse has identified Ineffective Tissue Perfusion as a nursing diagnosis for a client with disseminated intravascular coagulation (DIC). What intervention would be appropriate for the client?
A) Carefully repositioning the client every 2 hours
B) Administering oxygen
C) Monitoring oxygen saturation
D) Encouraging deep breathing and coughing
Answer: A
The intervention appropriate for the client experiencing ineffective tissue perfusion is to carefully reposition the client every 2 hours because position changes facilitate circulation and tissue perfusion. The other interventions would be appropriate if the client were experiencing impaired gas exchange.
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The average man is taller than the average woman at maturity because of
a. A longer period of skeletal growth b. Earlier development of secondary sexual characteristics c. Earlier onset of growth spurt d. Starting puberty at an earlier age
A newly diagnosed diabetic client is crying and says "I can't learn to live with this. It's overwhelming and people with diabetes get their feet cut off and just die!" The best response by the nurse is
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A nurse encounters a young woman with her child in the community. They do not speak English, but the nurse is fluent in Spanish and is able to communicate with them in their native language
The woman is very frightened and states that she can't go back to her country because the local government will harm her and her child if she does not convert to Catholicism. The nurse takes the woman to the local immigration office to apply for what status? A. Asylee B. Refugee C. Immigrant D. Permanent Resident
Lack of technical expertise alone is the reason why adverse events occur in healthcare
Indicate whether this statement is true or false.