Which nursing diagnosis has the highest priority after surgery for the open reduction and external fixation of an ankle?
a. Risk for activity intolerance
b. Risk for infection
c. Risk for impaired physical mobility
d. Risk for constipation
B
All are possible diagnoses, but risk for infection would have the highest priority because bone infections are serious complications.
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The nurse working on an oncology unit directs care to reduce the growth of cancer cells and support normal cell function when including which of the following interventions? Select all that apply. Standard Text: Select all that apply
1. Increased calorie intake 2. Encouraging increased rest and sleep 3. Reducing oxygen supply to retard growth of cancer cells 4. Assessment of normal functioning 5. Encouraging mobility and exercise
The patient is receiving a histamine-blocking agent to prevent stress ulcers. What is the most important adverse effect that the nurse expects?
A) Positive gastrointestinal guaiac B) Reduced chemical barrier immunity C) Absence of gastric discomfort D) Decrease in gastric pH
Paramedics bring a child to the emergency department with possible hypothermia. He walked to school without a coat and upon arrival he is noted to be shivering, nauseated, and uncoordinated
After removing the child's clothing, what nursing intervention does the nurse plan to implement? A. Administer rapid IV boluses. B. Apply a Bair Hugger. C. Cover the child with warm blankets. D. Start dialysis with warmed solution.
While the cause of schizophrenia is unknown, it is commonly believed to be caused by which of the following factors?
a. dysfunctional family interaction b. trauma at birth or in utero c. sin or an evil nature d. biological and genetic factors