A client has a chronic illness. He is married and has three children, one of whom is a sophomore in high school. The family is facing severe financial problems due to the client's mounting medical bills
The high-school aged daughter will be unable to go on her class trip because the family cannot afford the cost of the trip. This is an example of the inability of this family to meet which of the following family functions?
A) Affective
B) Socialization
C) Economic
D) Health care
C
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An 81-year-old patient of a subacute geriatric medical unit has become incontinent of stool over the past several days. This development has coincided with a decline in the patient's cognition as a result of severe Alzheimer's disease
In light of the patient's fecal incontinence, what nursing diagnosis should the nurse prioritize when planning this patient's care? A) Altered role performance related to fecal incontinence B) Altered nutrition, less than body requirements related to fecal incontinence C) Situational low self-esteem related to fecal incontinence D) Impaired skin integrity related to fecal incontinence
The school nurse is assisting the teacher in the third-grade science class. A little girl asks where the thickest part of the epidermis is. What should the nurse answer?
A) The scalp B) The elbows C) The palms of the hands D) The knees
The nurse identifies a priority problem of fatigue and weakness for the patient with heart failure. After ambulating 200 feet down the hall, the patient's blood pressure change is more than 20 mm Hg. How does the nurse interpret this data?
a. The patient is building endurance. b. The activity is too stressful. c. The patient could walk farther. d. The activity is appropriate.
During an assessment of the patient's integument, the nurse notes a flat, nonpalpable change in skin colour that is smaller than 1 cm. How is this finding documented by the nurse?
a. Macule b. Papule c. Vesicle d. Nodule