A client is diagnosed with a communicable disease, and must be placed in isolation. The nurse should identify which diagnosis as a priority for this client?
1. Social Isolation
2. Anxiety
3. Acute Pain
4. Imbalanced Nutrition: Less Than Body Requirements
Correct Answer: 1
Rationale 1: Social Isolation would be appropriate for the client who needs to be separated from others during a contagious episode.
Rationale 2: Anxiety would be appropriate if the client were demonstrating apprehension regarding a change in life activities because of the communicable disease.
Rationale 3: Acute Pain would be appropriate if the client were experiencing discomfort.
Rationale 4: Imbalanced Nutrition: Less Than Body Requirements would be appropriate if the client were too ill to eat adequately.
You might also like to view...
The labor nurse is reviewing the cardinal maneuvers with a group of nursing students. Which maneuver will immediately follow the birth of the baby's head?
a. Expulsion b. Restitution c. Internal rotation d. External rotation
A patient with peritonitis develops a temperature of 103° F (39.4° C), is restless, has blood pressure of 85/45 and has a urinary output of 76 mL in 8 hours. The nurse should develop a plan of care related to which health problem?
1. hypovolemic shock 2. inflammation 3. third spacing 4. bowel dysfunction
The nurse is planning care for a client with dementia and for the client's family. On which of the following nursing diagnoses would the nurse base her care for this client and family?
1. Interrupted Family Processes and Hopelessness 2. Pseudo-hostility and Ineffective Coping 3. Knowledge Deficit and Ineffective Coping 4. Hopelessness and Functional Family Processes
After administering cyclophosphamide to a client the nurse should:
a. continue to monitor the client's urine pH. b. administer leucovorin to decrease serum uric acid. c. administer mesna to rescue the bladder. d. add sodium bicarbonate to the IV fluids.