The client is experiencing low self-esteem issues, alterations in mood, and thoughts of harming the self, in addition to physical pain. The nurse's priority area for assessment is:
A) Self-esteem
B) Risk of harm
C) Physical pain
D) Mood
B
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The postpartum client has developed thrombophlebitis in her right leg. Which finding requires immediate intervention? The client:
1. Reports she had this condition after her last pregnancy. 2. Develops pain and swelling in her left lower leg. 3. Appears anxious, and describes pressure in her chest. 4. Becomes upset that she can't go home yet.
A nurse is caring for a client with type 2 diabetes receiving a meglitinide. The nurse reviews the client's medical record based on the understanding that which condition would contraindicate the use of this drug?
A) Diabetic ketoacidosis B) Kidney disease C) Severe heart failure D) Liver disease
The nurse hears a primiparous woman talking to her son and telling him that his chin is just like his dad's chin. This woman's statement reflects:
a. Mutuality. b. Synchrony. c. Claiming. d. Reciprocity.
During a routine physical, a 30-year-old patient remarks, "I had to buy all new shoes because my feet are growing again.". How should the nurse reply?
1. "Have you noticed any changes in your hands?" 2. "That is not too bad a problem to have.". 3. "We should measure your height.". 4. "Have you noticed your heart beating faster?"