The nurse is caring for a child on bed rest who has severe edema in a left lower leg 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
Rationale 1: The highest-priority problem is skin integrity.
Rationale 2: Body image would not take priority over the integrity of the skin for this scenario.
Rationale 3: Nutrition would not take priority over the integrity of the skin for this scenario.
Rationale 4: Activity intolerance would not take priority over the integrity of the skin for this scenario.
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An experienced nurse manager is serving as mentor to a newly appointed manager. The experienced manager says, "Always try to keep your staff as well informed as possible about what is going on at the administrative level
" What rationale should the manager offer for this advice? 1. Nursing involvement at the administrative level is required by accrediting agencies. 2. Involvement of all departments in the agency supports the organizations' management style. 3. Staff members who are kept informed are less likely to be suspicious and spread rumors. 4. Sharing both the positive and negative information from administration helps to reduce the manager's stress.
There are different roles for nurses involved in research based on their level of education. Which best describes the role of the BSN-prepared nurse in research?
1. Collaborates with other nurses to design research studies. 2. Critiques research studies and applies research to clinical practice. 3. Develops policy based on nursing research findings. 4. Assumes the role of primary investigator in an independent research study.
When caring for a client with a history of alcoholism, the nurse recognizes that the client is at increased risk for which hematologic problem?
1. Von Willebrand disease 2. Folic acid deficiency 3. Hemolytic anemia 4. Pernicious anemia
The parents of a 2-year-old child tell the nurse they are concerned because the toddler has started to use "baby talk" since the arrival of their new baby. What should the nurse recommend?
a. Ignore the baby talk. b. Tell the toddler frequently, "You are a big kid now." c. Explain to the toddler that baby talk is for babies. d. Encourage the toddler to practice more advanced patterns of speech.