For which patient is the nursing diagnosis Deficient Knowledge most appropriate?
1) Adolescent with Down syndrome and newly diagnosed with cardiac problem
2) Young adult admitted with acute renal failure who requires hemodialysis
3) Middle-aged woman with breast cancer receiving the last round of chemotherapy
4) Older adult with a long-standing history of type 1 diabetes admitted with a foot ulcer
ANS: 2
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After teaching a client who is recovering from a heart transplant to change positions slowly, the client asks, "Why is this important?" How should the nurse respond?
a. "Rapid position changes can create shear and friction forces, which can tear out your internal vascular sutures." b. "Your new vascular connections are more sensitive to position changes, leading to increased intravascular pressure and dizziness." c. "Your new heart is not connected to the nervous system and is unable to respond to decreases in blood pressure caused by position changes." d. "While your heart is recovering, blood flow is diverted away from the brain, increasing the risk for stroke when you stand up."
Evidenced-based nursing primarily uses which of the following to answer clinical questions?
A) Consulting an authority B) Using intuition C) Obtaining the newest research D) Relying on experience
A Puerto Rican American client uses dramatic body language whenever describing emotional
discomfort. Of the possibilities below, which is most likely to be an accurate explanation of the client's behavior? The client a. wishes to impress staff with her degree of emotional pain. b. has a histrionic character disorder and uses this behavior habitually. c. believes dramatic body language has high sexual appeal. d. is a member of a culture in which dramatic body language is the norm.
A nurse is performing the role of researcher in a nurse center. Which type of data would most likely be collected by a nurse in this setting? Select all that apply
a. Client use of services b. Trends in community characteristics c. Staff compliance with HIPAA d. Client satisfaction