The nurse is providing care for a young adult client with exophthalmos. Which nursing diagnosis would be the most appropriate for this client?
A) Disturbed Body Image
B) Ineffective Coping
C) Risk for Injury
D) Activity Intolerance
Answer: A
Exophthalmos is a clinical manifestation associated with hyperthyroidism and may be a problem for a young client. The nurse would plan to assess self-esteem and make appropriate referrals. Activity intolerance and risk for injury are not particular to this medical diagnosis. The client's ability to cope could be an issue, but it would probably stem from the disturbed body image.
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The NAPNES Code of Ethics
A) describes the minimum standards of practical/vocational nursing. B) describes the maximum standards of practical/vocational nursing. C) lists the rules of good conduct of practical/vocational nurses. D) outlines the laws surrounding the practical/vocational nurse.
A nurse working on the pediatric unit is caring for a toddler. The nurse knows that according to Peplau's theory, the child is learning what?
A) Learning independence B) Delaying self-gratification C) Learning to cooperate D) Learning to behave in a way that is acceptable to others
Which is the most significant consequence of the excessive use of defense mechanisms?
A. The superego will be suppressed. B. Emotions will be experienced intensely.C. Learning and the ability to grow will be enhanced. D. Problem-solving will be limited.
When preparing to apply protective clothing, an appropriate technique for a nurse to use is to:
A. Apply the cap last B. Apply the protective eyewear first C. Tie the two lower strings of the mask first D. Remove the gloves before disposing of the cap and mask