The nurse is caring for an infant recovering from surgery for pyloric stenosis. Which nursing diagnosis should the nurse use to guide care during the immediate postoperative period?
What will be an ideal response?
Risk for infection of incision line, related to disruption of skin barrier during surgery
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A patient, age 39, receiving chemotherapy for treatment of her cancer has a white blood cell count of 1600/mm3. This finding requires nursing interventions to provide which of the following?
a. Adequate fluid intake b. Protection from falls c. Protection against infection d. Frequent small nutritious snacks
The nurse recognizes that quality health care cannot be provided in isolation, but requires consultation with other team members. This nurse is aware of the need for:
A) ?role clarification. ?B) ?individualism. C) ?autonomy. ?D) ?collaboration.
A newly admitted patient diagnosed with schizophrenia says, "The voices are bothering me. They yell and tell me I am bad. I have got to get away from them." Select the nurse's most helpful reply
a. "Do you hear the voices often?" b. "Do you have a plan for getting away from the voices?" c. "I'll stay with you. Focus on what we are talking about, not the voices. " d. "Forget the voices and ask some other patients to play cards with you."
What is usually the first clinical manifestation of breast cancer?
a. Nipple dimpling b. Nipple discharge c. Enlargement of one breast d. Painless lump