A nurse is helping prepare a nursing care plan for a 90-lb, 82-year-old woman with iron-deficiency anemia with a hemoglobin of 5.2 . What is the most appropriate nursing diagno-sis?
a. Impaired tissue integrity related to immo-bility
b. Disturbed body image related to weight loss
c. Anxiety related to an unfamiliar hospital environment
d. Activity intolerance related to fatigue
D
Fatigue and activity intolerance are common complaints of patients with hematologic disorders.
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The nurse is caring for an 83-year-old client who needs surgery. The client's self-concept could be affected by which of the following identity stressors? Standard Text: Select all that apply
1. Sexuality concerns 2. Declining physical abilities 3. Poor coping ability 4. Change in physical appearance 5. Relationship concerns
The newborn is covered with a cream cheese–like substance, which protects the infant's skin from the amniotic fluid. This substance is called:
a. lanugo. b. meconium. c. desquamation. d. vernix caseosa.
The student nurse is discussing her 4-year-old patient with her nursing instructor. The instructor asks her about how Erikson's Developmental Tasks have an impact on a 4-year-old child's self-concept and sexuality. What is the best response?
a. "Mike identifies with his father." b. "Mike likes to help dress himself." c. "Mike is aware that he is too small to play football." d. "Mike is looking forward to going to col-lege when he gets bigger."
Explain how chemotherapy works.
What will be an ideal response?