The nurse is caring for the patient who has had an injury to the hypothalamus. Which intervention will the nurse be most concerned with implementing?
a. Maintaining environmental temperature control
b. Monitoring for signs of hemorrhage
c. Protecting the eyes from bright lights
d. Providing care designed to preserve skin integrity
A
The hypothalamus regulates body temperature; therefore, it is important to maintain adequate temperature control of the environment since the body's ability to regulate the temperature will be affected by injury to the organ. Bleeding, photophobia, and skin integrity are not issues asso-ciated with the hypothalamus.
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Which of the following is a central function unique to community health nursing? (Select all that apply.)
a. Being willing to travel to give care in an appropriate setting b. Collaborating and cooperating with other health care team members c. Gathering appropriate comprehensive assessment data on the community d. Incorporating epidemiological approaches throughout the nursing process e. Keeping accurate and detailed medical records on care given f. Being willing to contribute to health policy development
A newborn with a congenital defect of the penis should not be circumcised because:
a. There is increased risk of infection. b. The foreskin may be needed for future repairs. c. A circumcision will make the defect more visible. d. There is no medical rationale for a circumcision.
The use of diagnosis-related groups (DRGs) was initiated by federal Medicare and private insurers to reduce health care costs. Which situations demonstrate the potential effect this initia-tive has had on clinical nursing practice?
a. A patient is discharged with only one opportunity to change his dressing with su-pervision. b. A patient can delay her discharge if she is unsure about changing her dressing. c. A patient's ambulation is delayed if he experiences too much pain. d. A patient can be admitted to the hospital for a colonoscopy.
A nurse is caring for a 45-year-old client who has undergone arthroscopy. What client teaching should the nurse provide when caring for this client after the procedure?
A) Restrict the client from elevating the joint. B) Encourage application of heat on the joint. C) Instruct the client to limit fluids. D) Instruct the client on monitoring the site for infections.