A client with a long history of atherosclerosis is admitted with a cerebrovascular accident (CVA, stroke). Which of the following nursing diagnoses is appropriate for this client?
1. Risk for neurovascular dysfunction related to decreased circulation to the brain
2. Risk for impaired tissue perfusion: cerebral, related to inadequate cardiac output
3. Actual neurovascular dysfunction related to compression of the brain
4. Ineffective tissue perfusion: cerebral, related to interrupted blood supply to the brain
ANS: 4
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The nurse offers to bathe the client, and the client declines. What is the best way for the nurse to document this situation?
1. The client is refusing all care today. 2. The client is being noncompliant today. 3. Client stated, "I do not want a bath today." 4. The client did not want a bath today.
The nurse is reviewing amniocentesis results. Care was appropriate if the client:
1. Who is Rh-positive received RhoGAM after the amniocentesis. 2. Was monitored for 30 minutes after completion of the test. 3. Began vaginal spotting before leaving for home after the test. 4. Identified that she takes insulin before each meal and at bedtime.
Consider the following types of immunizations, and choose the one that a health care provider should refuse to administer to a patient diagnosed with acquired immune deficiency syndrome (AIDS)
a. Sera b. Toxoid c. Antitoxin d. Live attenuated viral vaccine
Asking a patient about her or his occupation is important to assist in identifying:
A) Insurance coverage. B) Possible health risks. C) Genetic mutations. D) Developmental tasks.