An elderly client, diagnosed with a wound infection, is not demonstrating the expected signs of inflammation. The nurse realizes this is because the:
1. client is prescribed medications that block this effect.
2. client is experiencing age-related changes in immunological function.
3. infection is localized.
4. client has been misdiagnosed.
2
One age-related change in immunological function is suppression of phagocytic activity which will cause an absence of typical signs and symptoms of infection and inflammation. The client is not demonstrating signs of inflammation because of medications, a localized infection, or misdiagnosis.
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Performance review is based on:
1. past reviews of the employee. 2. how the manager views the job. 3. a review of job standards. 4. the job description.
A patient dying of colon cancer tells a nurse that he is sure that he can beat the cancer if he changes his eating habits. The nurse understands that the patient is likely in the stage defined by Kübler-Ross as
1. Acceptance. 2. Anger. 3. Denial. 4. Bargaining.
The nurse should assess a client who has had unrelieved trigeminal neuralgia for the past 6 months for
a. alcohol consumption. b. suicidal ideation. c. vocational rehabilitation. d. weight gain.
A pregnant adolescent patient states that it is important not to have a baby who weighs too much, and so she is limiting calories. Her weight has decreased from 110 pounds to 106 pounds. Which nursing diagnosis is the priority for this patient?
1. Knowledge Deficit related to fetal development 2. Imbalanced Nutrition: Less than Body requirements related to poor eating habits 3. Disturbed Body Image related to situational crisis 4. Anxiety related to unanticipated pregnancy