A 12-year-old boy with Duchenne's muscular dystrophy is being seen in the clinic for a routine health visit. Which of the following would be an appropriate nursing diagnosis for this patient?
1. Impaired Mobility, risk for related to hypertrophy of muscles
2. Infection, risk for related to altered immune system
3. Impaired Skin Integrity, risk for related to paresthesia
4. Altered Comfort, risk for related to effects of the illness
1
Rationale:
1. Nursing care for muscular dystrophy (MD) focuses on promoting independence and mobility for this progressive, incapacitating disease.
2. Risk for infection in a child with muscular dystrophy is not related to the immune system, and would not be as high a priority as risk for impaired mobility.
3. Risk for impaired skin integrity is not as high a priority as is risk for impaired mobility.
4. Risk for altered comfort is not as high a priority as is risk for impaired mobility. Nursing care focuses on promoting independence and mobility.
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A researcher performs a critical appraisal of a group of studies measuring the effects of a home care education program on confidence levels of caregivers of elderly family members. The critical appraisal will include
a. determining the theoretical frameworks used for defining confidence. b. identifying sampling and inclusion criteria used in the studies. c. making value judgments about the credibility and validity of concepts. d. recording quotations relevant to the concept of confidence.
An 18-year-old client with complaints of fever is admitted to a healthcare facility; a small enlargement on the neck is diagnosed with Hodgkin's disease. The client has water retention due to excessive production of antidiuretic hormone (ADH)
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A nursing student will soon begin a new course with a new instructor. When encountering a new instructor for the first time, the student should:
A) compliment the instructor on his or her knowledge and skills. B) try to get to know the instructor as much as possible. C) remain silent until the instructor reveals his or her expectations. D) ask as many questions as possible so that the instructor notices the student.