A breast biopsy indicates the presence of malignant cells, and the client is scheduled for a mastectomy. Which nursing diagnosis would the nurse most likely include in the client's preoperative plan of care as being the most important?
A) Risk for deficient fluid volume
B) Activity intolerance
C) Disturbed body image
D) Impaired urinary elimination
C
Response:
The diagnosis of breast cancer and subsequent removal of the breast via surgery can affect all aspects of life for the woman, but most significantly her body image due to the loss of a body part. Therefore, the most important nursing diagnosis would be disturbed body image. Deficient fluid volume, activity intolerance, and impaired urinary elimination are possible due to the effects of surgery, but these are not as important as the client's body image.
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The nurse who bases practice on the theory of unitary human beings will focus on which set of concepts?
1. Caring factors, transpersonal caring relationships, and caring moments/situations. 2. Regulator, cognator, stimuli, and adaptation. 3. Energy fields, universe of open systems, pattern, and pandimensionality. 4. Self-care deficit, self-care agency, and therapeutic self-care demand.
Which of the following examples represents the type of knowledge known as process? Select all that apply
A) A nurse dispenses medications to clients. B) A nurse changes the linens on a client's bed. C) A nurse studies a nursing journal article on infection control. D) A nurse consults an ethics committee regarding an ethical dilemma. E) A nurse believes in providing culturally competent nursing care.
The nurse's client today informs her that he receives regular visits from a parish nurse, who helps him with his diet-controlled diabetes. The nurse is aware that parish nurses do which of the following? Choose all that apply
A) Provide medicine at no charge B) Refer clients to appropriate resources C) Perform physical assessments D) Promote personal responsibility for health E) Provide health education
Which of the following statements made by a 75-year-old client shows the best understanding of how the aging process affects the musculoskeletal system?
1. "I drink milk and eat cheese to get my calcium." 2. "I walk 1 mile everyday to strengthen my bones." 3. "I wear sensible shoes so I won't sprain an ankle." 4. "At my age I might never fully recover from a hip fracture."