Which is an appropriate nursing diagnosis for a postpartal mother with lacerations from a forceps delivery?
1. Alteration in body image related to scar formation
2. High risk for infection related to lochia and decreased perineal and birth canal integrity
3. Alteration in nutrition: more than body requirements related to increased appetite
4. Self-care deficit related to poor opportunity for independence
2
Rationale:
1. While the mother might have concerns about eventual scar formation, the priority is to prevent infection during the postpartal period.
2. High risk for infection related to lochia and decreased perineal and birth canal integrity.
3. Alteration in nutrition is not related to the problem of lacerations in the postpartal period.
4. Self-care deficit is not related to the problem of lacerations in the postpartal period.
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H. pylori is the leading cause of peptic ulcers. How does H. pylori act to cause ulcers in susceptible clients?
A) Erodes the mucosal layer of the stomach B) Decreases acid secretion so food can erode the lining of the stomach C) Secretes an enzyme that depletes gastric mucus D) Increases acid secretion so stomach acid actually erodes the lining of the stomach
The client has been diagnosed with hyperlipidemia and is being educated on types of food to include in his diet. What is the most appropriate nursing diagnosis for this client?
1. Impaired health maintenance, related to effects of drug therapy 2. Deficient knowledge, related to need for altered lifestyle 3. Noncompliance, related to dietary regime 4. Self-care deficit, related to disease process
A client begins to sneeze and have an increase in nasal secretions. The nurse realizes that the antibody that attaches to mast cells and plays a critical role in the allergic process is:
1. IgA. 2. IgD. 3. IgE. 4. IgG.
When assessing members of a vulnerable population, the community health nurse should realize that the primary need is to:
1. Provide culturally competent assessment. 2. Organize in your mind exactly what you need to ask. 3. Create a comfortable, nonthreatening environment. 4. Be alert for indications of mental and physical abuse.