The medical-surgical acute care patient has received a nursing diagnosis of Impaired skin integrity. The nurse consults a
a. Respiratory therapist.
b. Registered dietitian.
c. Chaplain.
d. Case manager.
B
Assessment and a plan for the patient to optimize the diet are essential. Adequate calories, protein, vitamins, and minerals promote wound healing. The nurse is the coordinator of care, and collaborating with the dietitian would result in planning the best meals for the patient. The respiratory therapist can be consulted when a patient has issues with the respiratory system. Case management can be consulted when the patient has a discharge need. A chaplain can be consulted when the patient has a spiritual need.
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A 7-month-old infant is admitted to the hospital with a diagnosis of acute gastroenteritis. What will be the nurses's priority goal of the infant's care?
a. Prevent fluid and electrolyte imbalance. b. Prevent nutritional deficiency. c. Prevent skin breakdown. d. Prevent malabsorption.
What electrolyte affects parathyroid hormone (PTH) secretion other than calcium?
A) Magnesium B) Sodium C) Potassium D) Zinc
A client who lives with her roommate in a condominium seeks advice about episodes of strange
behavior observed by the roommate but that the client cannot remember. The roommate has observed her leaving the condo wearing seductive clothing, quite different from her usual wardrobe, and returning 12 to 24 hours later, after which she sleeps for 8 to 12 hours. Episodes have also occurred in which the client and her roommate have argued about household matters and the client has gone to sit on the floor in the corner of the kitchen. While seated there she has spoken like a young child. The nurse should assess that the ego defense mechanism responsible for the client's condition is most likely a. rationalization. b. dissociation. c. projection. d. symbolization.
A new nurse has just taken his state board exams and passed, but he has not yet found a job. He also married the month after graduation, and his new wife just announced that she is pregnant. He has recently been experiencing sleep disturbances,
difficulty concentrating, and irritability. The nurse at the clinic suspects which disorder? 1. Obsessive-compulsive disorder 2. Generalized anxiety disorder 3. Adjustment disorder 4. Reactive attachment disorder