The nurse is developing nursing diagnoses for a patient with chronic pain related to bone cancer. Which of the following would be most correct?
A. constipation related to impaired mobility as evidenced by daily, soft bowel movements.
B. Activity intolerance related to chronic pain as evidence by patient stating pain 10/10 with movement
C. Effective management of Therapeutic Regimen as evidenced by normal cell counts.
D. Inffective coping related to terminal cancer diagnosis.
Answer: B. Activity intolerance related to chronic pain as evidence by patient stating pain 10/10 with movement
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All of the following children are inpatients on the pediatric unit. Which child is likely to be left with a developmental disability?
1. An 18-month-old admitted with a diagnosis of near drowning 2. A school-age child newly diagnosed with type 1 diabetes mellitus 3. A toddler with sepsis 4. A two-year-old child with a fractured femur
The nurse explains to a patient with a painful toe that the pain is related to the inflammatory response. What process causes this discomfort?
a. Swelling, which compresses nerves. b. Enzyme release, which irritates the area. c. Acidic waste from the destroyed cells. d. Heat of lysis, which affects the nerves.
The nurse conducts a seminar in a local community center on how Americans can be affected by radiation from a nuclear attack. The nurse determines that the education is effective when the patients make which statement?
1. "I can protect myself from cancers by taking potassium iodide (KI)." 2. "I need to stay inside my house for at least 2 days after the attack to be safe." 3. "I need to take at least four showers every day or I will develop skin ulcers." 4. "I am at risk to develop leukemia as a result of radiation exposure."
A graduate practical nurse is caring for a client who has a tracheostomy tube. A seasoned nurse is assisting in providing guidance for completing tracheostomy care. When changing the ties, the client moves and dislodges the tube
Which of the following does the seasoned nurse do first? A) Call for the registered nurse to reinsert the tube. B) Place a dilator in the stoma to maintain the opening. C) Cover the tracheostomy site with a sterile gauze to prevent infection. D) Call for an ambulance and transfer the client to the emergency department.