A client with Alzheimer's disease is admitted to the hospital with a diagnosis of chronic bladder infection. The skin on the client's upper thighs and perineum is excoriated from urinary incontinence
Which nursing diagnosis is the most appropriate for the client?
1. Risk for urinary tract infection related to incontinence
2. Impaired skin integrity related to functional incontinence
3. Impaired skin integrity related to urinary tract infection
4. Urinary incontinence related to functional incontinence
ANS: 2
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A hospital uses a results-oriented evaluation system. During a nurse's hiring process, the manager states, "Once you have been officially hired, I want to meet with you regarding evaluation." What will be the focus of this meeting?
1. The manager will give the nurse a set of work objectives for the next year. 2. The manager will explain how poor evaluations can lead to termination. 3. The nurse and the manager will work together to write work objectives for the nurse. 4. The manager will review the nurse's previous job experiences.
The nurse is transferring the client who is able to provide minimal assistance from the bed to the wheelchair. Which nursing action will provide for the safest transfer for this client?
1. Raising the bed height to waist height 2. Placing the wheelchair on the client's strong side 3. Placing the wheelchair with the feet pointing toward the side of the bed 4. Locking the wheels of the wheelchair and lowering the footplate
The mediator suggested to the unit staff that a group agreement needed to be made so meetings could become productive. For example, the group agreement, "We will speak supportively," prevents:
a. Expression of opposing ideas. b. Gossip and making negative comments about absent team members. c. Efforts to ensure that everyone thinks alike. d. Votes that oppose motions.
While taking a nursing history of a client recently diagnosed with restrictive cardiomyopathy, which information does the nurse recognize as significant to his health problem?
1. A history of living in Europe 2. A family history of cardiomyopathy 3. Excessive alcohol use 4. History of depression