The nurse is making a home visit to a client who had a cesarean birth 3 days ago. Assessment reveals that the client is complaining of intermittent pain, rating it as 8 on a scale of 1 to 10 . She states, "I'm pretty tired
And with this pain, I haven't been drinking and eating like I should. The medication helps a bit but not much. My mom has been helping with the baby." Her incision is clean, dry, and intact. Which nursing diagnosis would the nurse identify as the priority for this client?
A) Impaired skin integrity related to cesarean birth incision
B) Fatigue related to effects of surgery and caretaking activities
C) Imbalanced nutrition, less than body requirements related to poor fluid and food intake
D) Acute pain related to incision and cesarean birth
D
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Ethical dilemmas are inevitable in the conduct of scientific research
A) True B) False
A client wants to know the difference between good and bad cholesterol. What should the nurse respond to this client?
a. Good cholesterol builds fat stores that can be used for energy if needed by the body, whereas bad cholesterol has no real purpose b. Bad cholesterol causes a buildup of adipose tissue in the abdomen and can lead to heart attacks but good cholesterol is used by the body to produce energy c. Good cholesterol is needed by the body to build cell walls and other functions, whereas bad cholesterol builds up in blood vessels and causes cardiovascular disease d. Bad cholesterol is difficult to absorb in the intestines and ends up being eliminated in the stool with little nutritional value but good cholesterol is used to build cell walls Answer: 3
Considering anatomic location, which cranial nerve will be affected first by downward pressure onto the infratentorial structures?
a. III b. VI c. IX d. X
During review of back injuries, it is determined that a large number of injuries are occurring in spite of mechanical lifts being used. Furthermore, it is determined that some lifts are outdated. In addressing this concern, the unit manager:
a. Meets individually with nurses who are observed to be using the lifts incorrectly to review the correct procedure. b. After consultation with the staff about the review, orders new lifts to replace older ones that are malfunctioning. c. Blames the system for inadequate funding for resources. d. Reviews the system of reporting incidents to ensure that appropriate reporting is occurring.