The nurse is planning care for a client with a large area of erythema, swelling, and pruritic lesions on the hands and arms. Which nursing diagnosis should the nurse use to guide this client's care?
A) Impaired Social Interaction
B) Anxiety
C) Impaired Skin Integrity
D) Situational Low Self-Esteem
Answer: C
The client is experiencing manifestations of contact dermatitis. The nursing diagnosis that is the most appropriate for this client is Impaired Skin Integrity. If left untreated, the client could develop impaired social interaction, situational low self-esteem, or anxiety.
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1. the climacteric. 2. menopause. 3. the menarche. 4. the ischemic phase.
The nurse performing an eye examination will document normal findings for accommodation when
a. shining a light into the patient's eye causes pupil constriction in the opposite eye. b. a blink reaction follows touching the patient's pupil with a piece of sterile cotton. c. covering one eye for 1 minute and noting pupil constriction as the cover is removed. d. the pupils constrict while fixating on an object being moved closer to the patient's eyes.
The documentation relative to a patient problem that is correct and includes all necessary legal requirements is:
a. 10:00 AM Dr. Jones notified of one-inch circular red macular rash on patient's left cheek. Area is inflamed, and patient complains of itching. Left order for calamine lotion BID. b. MD called R/T to rash on left cheek. Left orders. c. 10 Dr. Jones L/O for calamine lotion for rash on cheek. d. 10:00 AM Dr Jones notified of one-inch circular red macular rash on patient's left cheek. Area is inflamed, and patient complains of itching. Left orders.
A nurse is determining if teaching is effective. Which finding best indicates learning has occurred?
a. A nurse presents information about diabetes. b. A patient demonstrates how to inject insulin. c. A family member listens to a lecture on diabetes. d. A primary care provider hands a diabetes pamphlet to the patient.