A 40-year-old woman who had fulminant liver failure received a liver transplant 36 hours ago and is now receiving care in the intensive care unit
Which of the following aspects of nursing care addresses one of the major threats to this patient's health at this time?
A) Maintaining meticulous hand hygiene and infection control
B) Providing total parenteral nutrition (TPN)
C) Monitoring the patient closely for signs of skin breakdown
D) Providing empathic emotional support to the patient and her family
A
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A patient is receiving a corticosteroid inhaler for treatment of asthma. When teaching the patient regarding possible complications of this form of treatment, the nurse would include which of the following?
A) Weight loss B) Skin rash C) Thrush D) Hypoglycemia
An ombudsman is
A) a healthcare professional who reviews client records and offers an opinion as to whether the client has received the appropriate standard of care in a nursing home. B) an attorney who can pursue lawsuits on behalf of clients who are residents in nursing homes. C) a trained person who investigates complaints from nursing home residents and their families. D) an agent of the nursing home who deters clients from filing lawsuits.
A client with erectile dysfunction who had a penile implant inserted has been taught how to identify malfunction of the device
Which of the following if stated by the client as indicative of malfunction would indicate to the nurse that the client has understood the teaching? A) Erosion of penile or urethral tissue B) Underinflation or bulging of the cylinders during inflation C) Erosion of scrotal, bowel, or bladder tissue D) Migration of the cylinders, pump, or reservoir from their intended location
The nurse is developing a care plan for a newly delivered mother who had a forceps delivery. Which nursing diagnosis is appropriate for a postpartal mother with lacerations from a forceps delivery?
1. Alteration in Body Image related to scar formation 2. High Risk for Infection related to lochia and decreased perineal and birth canal integrity 3. Alteration in Nutrition: more than body requirements related to increased appetite 4. Self-care Deficit related to poor opportunity for independence