What is the priority nursing diagnosis for a bedridden client with a serum albumin level of 7.8 mg/dL?
A. Imbalanced Nutrition: Less than Body Requirements
B. Risk for Impaired Skin Integrity
C. Risk for Social Isolation
D. Risk for Infection
B
The serum albumin level is normal, indicating adequacy of nutritional protein intake. Any be-dridden client is at risk for impaired skin integrity.
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According to Maslow's Hierarchy of needs, which dimension of care is considered primary in importance when caring for a dying patient?
A) Spiritual B) Social C) Physiologic D) Emotional
A client is in the middle stage of Alzheimer dementia. She has difficulty communicating because of cognitive deterioration. Which nursing intervention would most improve the client's communication?
A) Discouraging the client from verbally communicating because it agitates other clients B) Verbalizing the implied message if the client's verbalizations are incomprehensible C) Talking over her to drown out her vocalizations D) Encouraging her to communicate her thoughts in writing
The nurse is monitoring a client who is in the active phase of labor. The client has been experiencing contractions that are short, irregular, and weak. The nurse documents that the client is experiencing which type of labor dystocia?
1. Hypotonic 2. Precipitate 3. Hypertonic 4. Preterm labor
Community mental health nurses have been mobilized to provide crisis intervention for the students at a school where a mass murder just occurred. What type of prevention strategy is this?
A) Primary B) Secondary C) Tertiary D) Interventional