A client with iron-deficiency anemia has a low hemoglobin level. Which is a priority nursing diagnosis for this client?
Standard Text: Select all that apply.
1. Constipation, Risk for
2. Nutrition, Imbalanced: Less than Body Requirements
3. Tissue Perfusion: Peripheral, Risk for Ineffective
4. Knowledge, Deficient, related to anemia
Correct Answer: 2, 3
Rationale 1: Risk for Constipation is not a priority nursing diagnosis for this client.
Rationale 2: The client's diet might be missing iron in iron-deficiency anemia.
Rationale 3: Hemoglobin is carried on erythrocytes and is responsible for transporting oxygen to the tissues.
Rationale 4: Knowledge Deficient might exist, but it is not the priority nursing diagnosis.
Global Rationale: Hemoglobin is carried on erythrocytes and is responsible for transporting oxygen to the tissues; therefore, Risk for Impaired Tissue Perfusion is a priority nursing diagnosis. The other diagnoses may be pertinent but they are not the priority for this client.
You might also like to view...
Why is it important for the nurse to understand the type of family that a client comes from? Select all that apply. Select all that apply
1. Family structure can influence finances and the ability to purchase nutritious foods. 2. Many types of families exist, and it is important to address the persons who hold power within the family. 3. The nurse can anticipate which problems a client will experience based on the type of family the client has. 4. Understanding if the client's family is nuclear or blended will help the nurse teach the client the appropriate information. 5. The values of the family will be predictable if the nurse knows what type of family the client is a part of.
A nurse works with a program that performs interviews, blood work, and digital rectal examinations aimed at identifying older men with benign prostatic hyperplasia (BPH)
The program also facilitates bathroom alterations in older adults' homes to ensure men with BPH have easy access to a toilet. Which of the following components of health promotion has yet to be implemented in the program? A) Screening B) Risk assessment C) Environmental modification D) Risk-reduction interventions
The nurse is assigning support personnel to assist the families of clients who have died in dealing with the stress related to the loss of their family member. Which family would the nurse screen as highest risk for complicated grief?
The family of a client who: 1. Died after a long battle against cancer. 2. Died after developing diabetes-induced renal failure. 3. Was killed in the robbery of a bank. 4. Died from chronic heart disease.
In reviewing the charts of several clients in the clinic, a nurse recognizes which client as being at highest risk of breast cancer?
a. A woman who had her first child at age 26 b. A woman who reached menopause at age 58 c. A woman who breastfed all four of her children d. A woman who states that she reached menarche at age 14