A client in the fourth stage of labor is crying out in pain. Which of the following nursing diagnoses would be the most appropriate for the client at this time?
1. Fear
2. Anxiety
3. Acute Pain
4. Health-Seeking Behaviors
3. Acute Pain
Rationale:
In the fourth stage of labor, the diagnosis of acute pain related to perineal trauma is the most appropriate for the client at this time. The diagnoses of fear and anxiety would be appropriate during the first stage of labor. The diagnosis of health-seeking behaviors does not address the client experiencing pain during labor.
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The Magnet Program represents a credentialing process, whereby organizations of quality are recognized. What does the Magnet Recognition Program require, relative to research and evidence-based practice? (Select all that apply.)
a. Nurses will participate in the institutional review process. b. Nursing research will be a budget line item. c. Only nurse researchers will conduct clinical research. d. The institution will keep track of nursing research projects in progress and recently completed. e. Care applied to patients will be, in a large part, supported by research.
On the fourth day postpartum, a woman develops breast engorgement. Which of the following measures would be best to recommend to her as a means of alleviating this problem?
A) Discontinuing breastfeeding for 24 hours B) Decreasing her fluid intake to below 500 mL per 24 hours C) Encouraging her to continue regular breastfeeding D) Having her apply lanolin cream to each breast
Which statement by an older adult client to the nurse would indicate that the client is being abused? Select all that apply.
A. "I am so cold all of the time because I don't have any warm clothes." B. "I think I have a sore on my bottom. No one ever cleans me after I use the bathroom." C. "Please don't tell that lady that brought me here that I showed you my bruises." D. "I wish I had someone else to bring me here. That lady is a terrible driver." E. "The lady insists on using the cheap soap to wash my clothes. I hate the smell."
The nurse travels around her community looking at how people live, where they live, the type of housing in the neighborhood, and the location of available services. The nurse is conducting a(n)
A) informant interview. B) participant observation. C) windshield survey. D) constructed survey.