In preparing to create a nursing diagnosis for a patient who is immobile, it is important for the nurse to understand that
a. Physiological issues should be the major focus.
b. Psychosocial issues should be the major focus.
c. Developmental issues should be the major focus.
d. All dimensions are important to health.
D
Often the physiological dimension is the major focus of nursing care for patients with impaired mobility. Thus the psychosocial and developmental dimensions are neglected. Yet all dimensions are important to health.
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The nurse is caring for a patient with high serum cholesterol and triglyceride levels. In teaching the patient about therapeutic lifestyle changes such as diet and exercise, the nurse explains that the desired goal for cholesterol levels is what?
A) High high density lipoprotein (HDL) values and high triglyceride values B) Low soluble fiber C) Elevated blood lipids, fasting glucose less than 100 D) Low low density lipoprotein (LDL) values and high HDL values
A client with oral Candidiasis has the nursing diagnosis Acute Pain related to altered oral mucous membrane and ulcerations. To rinse the mouth and provide comfort, the nurse should instruct the client to use
a. a commercial mouthwash. b. Dakin's solution. c. half-strength peroxide. d. saline mouth rinses.
An RN delegates to the unlicensed assistive personnel (UAP) the task of performing blood pressure checks for a group of patients on a nursing unit. The UAP accepts the task and is responsible for:
a. delegating the task to another UAP if he or she does not have the time or skill to complete the task. b. keeping the RN informed of any abnormal blood pressure readings. c. calling the physician when the patient's vital signs are not within established parameters. d. informing the dietary department to initiate a low-sodium diet for patients who are hypertensive.
An acutely presenting, erythematous, tender lump within the eyelid is called:
a. Blepharitis. c. Chalazion. b. Hordeolum. d. Iritis.