The nurse recognizes that the priority goal for the child with a chronic illness is to:
a. maintain the intactness of the family.
b. eliminate all stressors.
c. achieve complete wellness.
d. obtain the highest level of wellness.
D
To obtain the highest level of health and function possible is the priority goal of nursing of children. Maintaining the intactness of the family is a goal for the family, not specifically the child. It is not a realistic goal to eliminate all stressors because life will continue to present stressors. It is also unrealistic to achieve complete wellness because chronic illness by definition is a long-term condition either without a cure or with residual limitations.
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Which of the following nursing diagnoses would be applicable to a patient who has rheumatoid arthritis?
A) Self-care deficit related to fatigue and joint stiffness B) Ineffective airway clearance related to body image disturbance C) Risk for violence related to anxiety D) Urinary retention related to chronic pain
Which milestone is developmentally appropriate for a 2-month-old infant?
a. Pulled to a sitting position, head lag is absent. b. Pulled to a sitting position, the infant is able to support the head when the trunk is lifted. c. The infant can lift his or her head from the prone position and briefly hold the head erect. d. In the prone position, the infant is fully able to support and hold the head in a straight line.
Which statement made to the home care nurse by the client at risk for dehydration indicates a correct understanding of prevention and clinical manifestation of dehydration?
A. "I must drink a quart of liquids each day." B. "I will weigh myself every morning before I eat or drink." C. "I will use a salt substitute when preparing and eating my meals." D. "I will drink no liquids after 6 PM so I won't have to get up at night."
Which term describes the active transport process that moves sodium and potassium into or out of cells?
a. Filtration b. Sodium pump c. Diffusion d. Osmosis