The nurse is caring for a newborn following the application of a hip spica cast to treat congenital hip dysplasia. Which nursing diagnoses should the nurse use to guide the care of this infant? (Select all that apply.)
A) Risk for aspiration
B) Risk for imbalanced nutrition
C) Risk for fluid volume excess
D) Risk for delayed growth and development
E) Risk for impaired skin integrity
Ans: D, E
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Which is a true statement concerning communication with a patient who has aphasia?
a. Communication should be reduced to a childlike level. b. The patient should be exposed to a variety of different staff members to stimulate rehabilitation. c. A nurse should pay attention to what speech and word recognition patterns the patient uses. d. Alternative or augmentative tools exist for only a few types of aphasia.
Which Navajo American Indian divination method will women practice to diagnose the cause of a disease?
A. Motion in the hand B. Listening C. Singing D. Stargazing
When assessing a client, the nurse notes localized redness and hyperthermia. This is most often associated with:
a. high fever. c. infection. b. shock. d. arteriosclerosis.
The nurse is caring for a client who shares the same culture as other assigned clients. Which action should the nurse take when addressing this client's nutritional needs?
a. Assume that the client has no particular dietary issues b. Ask the client about any particular nutritional preferences c. Provide routine dietary actions unless the client asks otherwise d. Follow the same nutritional practices as the other clients from the same culture