Identify which of the following are nursing diagnoses
1. High risk for delayed maternal-infant bonding due to maternal-infant separation (infant transferred) to newborn intensive care unit in a pediatric hospital 30 miles away from mother.
2. Hypertension
3. Appendicitis
4. Crohn's disease
High risk for delayed maternal-infant bonding due to maternal-infant separation (infant transferred) to newborn intensive care unit in a pediatric hospital 30 miles away from mother.
Rationale: "High risk for delayed maternal-infant bonding due to maternal-infant separation (infant transferred) to newborn intensive care unit in a pediatric hospital 30 miles away from mother" is an example of a nursing diagnosis. The statement indicates a clinical judgment that this new mother−baby couplet is more at risk to experience a delay in bonding than other mother−baby couplets, because of the baby's transfer away from the mother. Hypertension, appendicitis, and Crohn's disease are examples of medical diagnoses.
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The nurse follows which of the following guidelines for writing expected outcomes? Standard Text: Select all that apply
1. Ensure that the expected outcomes are compatible with therapies of other professionals. 2. Combining goals with multiple nursing diagnoses saves time. 3. Avoid statements that start with permit or enable. 4. Use observable, measurable terms. 5. Determine goals based on nurses' values and client health concerns.
The nurse is discharging a patient home after surgery for trigeminal neuralgia. What advice should the nurse provide to this patient in order to reduce the risk of injury?
A) Avoid watching television or using a computer for more than 1 hour at a time. B) Use OTC antibiotic eye drops for at least 14 days. C) Avoid rubbing the eye on the affected side of the face. D) Rinse the eye on the affected side with normal saline daily for 1 week.
Communication techniques used during the exam should include all of the following except:
A) Using a calm, caring, and professional manner. B) Teaching information, as appropriate, in response to the patient's health needs. C) Being humorous about assessment findings. D) Keeping the patient informed about assessment findings.
The nursing diagnosis established for the client in chronic renal failure (CRF) is related to significant osteodystrophy. Which of the following does the nurse set as the priority nursing diagnosis for this client?
1. Risk for Injury 2. Risk for Bleeding 3. Disturbed Body Image 4. Anxiety