Your 30-year-old client was in an accident and was hospitalized with a fractured hip and right tibia. The client has difficulty moving because of extreme pain. Which nursing diagnosis would be most appropriate?
1. Impaired physical mobility
2. Disturbed sensory/perceptual
3. Activity intolerance
4. Impaired skin integrity
ANS: 1
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A woman reports feeling uterine contractions that are strong, but on subsequent cervical checks, the nurse does not note any changes. What action by the nurse is most appropriate?
A. Assess the woman for causes of anxiety. B. Attempt an external version of the fetus. C. Instruct the woman on nipple stimulation. D. Prepare to administer oxytoxin (Pitocin).
Reliability could be established for a physiological instrument, such as an automatic blood pressure (BP) cuff, by:
a. measuring pulse rate and BP. b. recalibrating the equipment. c. taking the BP in a different arm. d. using another BP cuff to compare results.
The nurse has concluded that he/she is a right-brain–dominant person. Based on the nurse's time style, which unit governance task will the nurse implement?
a. Devise a plan to restructure the nursing career ladder. b. Write a procedure for central line care us-ing new equipment that will be available in two weeks. c. Do the unit time schedule for the next pay period. d. Collate data obtained from a chart audit to report at the next unit staff meeting.
A 66-year-old female is retired and no longer has health insurance through her place of employment. Which of the following programs would be appropriate for her health insurance needs?
a. Medicare b. Medicaid c. Social Security d. Economic Opportunity Act