Which nursing diagnosis would be appropriate for most clients who are chemically impaired?
a. Constipation
b. Hyperthermia
c. Risk for injury
d. Disturbed personal identity
C
Substance abuse, regardless of the drug used, offers a variety of ways an individual might sustain
injury: falls, skin infection, aspiration, etc. The defining characteristics for the other nursing
diagnoses are not universally present among substance abusers.
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Your patient has a positive bulge sign and a palpable click upon ballottement, which most likely indicate
a. a small effusion of his knee. c. a large effusion of his knee. b. torn cartilage within the knee joint. d. torn ligaments of the knee.
Caring for the elderly patient can be challenging. Nurses must be aware of their feelings about the aging process in order to:
A) Joke with the patients B) Be more sympathetic C) Project the "right" attitude toward others D) Be more therapeutic
The nurse is explaining wound healing to a patient. Which of the following statements explains the healing that occurs during the inflammatory stage of wound healing in a full-thickness wound?
a. A reduction in the size of the wound is noted. b. The epithelial cells duplicate. c. Synthesis of collagen occurs at the site. d. Blood flow to the wound and arrival of white blood cells are increased.
A mother shares with the pediatric nurse that her 3-year-old has started thumb sucking and bed-wetting again after about a year of not engaging in these behaviors. The pediatric nurse notices the child clinging to the mother
Based on the child's behaviors, the pediatric nurse would in the assessment phase most need to ask the mother: a. "Has there been any loss or change in your lives such as separation, divorce, or relocation?" b. "Are you rewarding your child whenever she urinates in the potty or does not suck her thumb?" c. "Has your child been sick or had a contagious disease, fever, diarrhea, or vomiting?" d. "Has your child been getting enough attention from you in the past few weeks?"