A nurse is caring for a visually impaired 20-month-old who has not begun to walk. Which nursing diagnosis is the most appropriate for this client?
1. Delayed growth and development
2. Impaired physical mobility
3. Self-care deficit
4. Impaired home maintenance
Correct Answer: 1
Rationale: A 20-month-old child who is not walking is delayed in growth and development. The child's mobility is not due to a physiological problem, so impaired mobility is not appropriate. Self-care deficit does not apply to this age of child. There is not enough data to determine if home maintenance is impaired.
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a. As soon as the person gets to the room b. After the person changes into a gown c. When the person is comfortable d. After the person is weighed and measured
The nurse is instructing a postoperative client regarding signs of complications. Which of the following should be included in these instructions?
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