An older patient has been treated for a small basal cell carcinoma on the face. What assessment finding indicates to the nurse that the goals for a priority diagnosis have been met?
a. The patient verbalizes relief there is no metastasis.
b. Wound edges are approximated without redness.
c. The patient expresses satisfaction with the cosmetic outcome.
d. The patient relates the need for proper sun protection.
B
All findings indicate positive resolution of various nursing diagnoses. However, physical diag-noses take priority, so the best response is the one that indicates lack of infection.
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The nurse plans to give a client written materials as a part of the educational plan. Which observation by the nurse indicates that this is an appropriate form of learning material for this client?
a. Client has frequent visitors. b. Client spends quiet time reading. c. Client spends quiet time watching television. d. Client spends quiet time listening to the radio.
While assessing a client, the nurse determines that the client has the capacity to perceive sensory impressions and react appropriately through thoughts and actions. This ability is called:
a. affect. c. awareness. b. judgment. d. kinesthesia.
Which patient requires the most rapid assessment and care by the emergency department nurse?
a. The patient with hemochromatosis who reports abdominal pain b. The patient with neutropenia who has a temperature of 101.8° F c. The patient with sickle cell anemia who has had nausea and diarrhea for 24 hours d. The patient with thrombocytopenia who has oozing after having a tooth extracted
The nurse is preparing a teaching guide to be used for prenatal, pregnancy, and postpartum nutritional classes. Which nutrients should the nurse emphasize that remain consistent throughout these gestational periods? Select all that apply
1. Fat 2. Iron 3. Protein 4. Vitamin K 5. Pyridoxine