What should a nurse consider when selecting possible nursing diagnoses for a 32-year-old patient who is in anticipatory grieving for an upcoming bilateral above-the-knee amputation? (Select all that apply.)
a. Anxiety, related to knowledge deficit of procedure
b. Disturbed body image, related to loss of body part
c. Sexual dysfunction, related to perceived disfigurement
d. Disturbed self-image, related to loss of independence
e. Activity intolerance, related to bed rest
A, B, C, D
All concerns mentioned except the bed rest would need to be addressed.
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The camp nurse is assessing a group of children attending summer camp. Which child will be most likely to have problems perceiving a sense of belonging?
1. The child whose parents divorced recently 2. The child recently placed into foster care 3. The child whose mother remarried and who gained a stepparent recently 4. The child adopted as an infant
The postoperative unit of the pediatric hospital has several children who had surgery this morning. While making rounds, the nurse observes all of the following behaviors. Which child should be further evaluated as to postoperative pain?
1. The six-month-old in deep sleep 2. The two-year-old who is cooperative when the nurse takes his vital signs 3. The four-year-old who is actively watching cartoons 4. The 14-month-old who is thrashing his arms and legs
Heparin is never administered by __________ because of the risk of hematoma
A. intravenous infusion B. subcut injection C. IM injection D. IV push
The physician approaches your client with a treatment plan for his cancer
The client states that his life is in God's hands and refuses conventional treatment. This is an example of A) fatalistic behavior. B) denial. C) anger. D) bargaining.