The nurse would write which of the following nursing diagnoses for a client with respiratory disease to avoid documenting a legally inadvisable statement?
1. Risk for ineffective airway clearance related to refusal to cough and deep breathe
2. Risk for ineffective airway clearance related to laziness with respiratory exercises
3. Risk for ineffective airway clearance related to shallow breathing and weak cough
4. Risk for ineffective airway clearance related to not being given an incentive spirometer
ANS: 3
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The patient at 20 weeks' gestation has had an ultrasound that revealed a neural tube defect in her fetus. The patient's hemoglobin level is 8.5. The nurse should include which statement when discussing these findings with the patient?
1. "Your low iron intake has caused anemia, which leads to the neural tube defect." 2. "You should increase your vitamin C intake to improve your anemia." 3. "You are too picky about food. Your poor diet caused your baby's defect." 4. "You haven't had enough folic acid in your diet. You should take a supplement."
The use of cold (cryotherapy) to treat certain injuries is beneficial because of which of the following effects? (Select all that apply.)
a. Relief of pain b. Decreased muscle spasm c. Increased nerve conduction d. Decreased edema
The pediatric nurse reminds the ancillary personnel that cultural needs and customs of the dying patient from an Asian culture are:
a. The same across all cultures b. Secondary to providing care c. Best discussed using an interpreter d. Unique to a given culture
Which of these observations by the nurse would require taking action for breach of confidentiality?
a. Use of patient initials on nurse's assignment worksheet b. A nurse asking an unknown physician for identification c. A physician asking a nurse if a friend has cancer d. A nurse reviewing charts of assigned patients for orders