Disturbed body image is the nursing diagnosis for a patient with an eating disorder. Which outcome indicator is most applicable to this diagnosis?
a. Weight, muscle, and fat congruence with height, frame, age, and sex
b. Calorie intake within required parameters of treatment plan
c. Weight at established normal range for the patient
d. Patient satisfaction with body appearance
D
Body image disturbances are considered improved or resolved when the patient is consistently satisfied with his or her own appearance and body function. This is a subjective consideration. The other indicators are more objective but less related to this nursing diagnosis.
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The nurse is caring for a patient who has a displaced midshaft fracture of the left femur and is in balanced suspension skeletal traction with 35 pounds of weights. The patient reports calf pain with right foot dorsiflexion
Which of the following actions would be most appropriate for the nurse to take? a. Notify the RN. b. Encourage dorsiflexion more frequently. c. Check the traction setup. d. Reduce 5 pounds of weight.
A client 80 years of age experienced dysphagia (impaired swallowing) in the weeks following a recent stroke, but his care team wishes to now begin introducing minced and pureed food. How should the nurse best position the client?
A) Fowler's B) Low-Fowler's C) Protective supine D) Semi-Fowler's
Which play item should the nurse bring from the playroom to a hospitalized toddler in isolation?
a. Small plastic Legos c. Brightly colored balloon b. Set of large plastic building blocks d. Coloring book and crayons
While checking a patient's pupils the nurse notes that the left pupil constricts when a light is shined into the right eye. What does this information suggest to the nurse?
a. Tropia present b. Esotropia absent c. Accommodation absent d. Consensual response present