The nurse is caring for a child on bed rest who has severe edema in a left lower extremity due to blocked lymphatic drainage. Which nursing diagnosis would take priority?
1. Risk for Impaired Skin Integrity
2. Risk for Altered Body Image
3. Risk for Imbalanced Nutrition: Less Than Body Requirements
4. Risk for Activity Intolerance
1
Explanation:
1. The highest priority problem is skin integrity.
2. Body image would not take priority over the integrity of the skin for this scenario.
3. Nutrition would not take priority over the integrity of the skin for this scenario.
4. Activity intolerance would not take priority over the integrity of the skin for this scenario.
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A mother with diabetes has done some reading about the effects of her condition on newborns. Which statement shows a misunderstanding that should be clarified by the nurse?
a. "Although my baby is large, some women with diabetes have very small babies because the blood flow through the placenta may not be as good as it should be." b. "My baby will be watched closely for signs of low blood sugar, especially during the early days after birth." c. "The red appearance of my baby's skin is due to an excessive number of red blood cells." d. "My baby's pancreas may not produce enough insulin because the cells became smaller than normal during my pregnancy."
A fluoroquinolone (Ciprofloxin) is prescribed for a male patient with a UTI. What should the nurse practitioner teach the patient regarding taking this medication?
A. It must be taken on an empty stomach B. Its effectiveness is decreased by antacids, iron, or caffeine ingestion C. It may cause a metallic aftertaste D. Its effectiveness is not a concern and it can be taken with any medications
What is the best way to control external bleeding?
A) apply a thick bandage B) put the patient's head up C) apply direct pressure D) all of the above
Using Maslow's Hierarchy of Needs, rank the following nursing diagnoses in order of importance, beginning with the highest-priority diagnosis
(Enter using the following format: 1, 2, 3, 4) 1) Anxiety 2) Risk for infection 3) Disturbed body image 4) Sleep deprivation What will be an ideal response?