A child must wear a brace for correction of scoliosis. Which of the following nursing diagnoses takes priority at this time?
1. Impaired Skin Integrity, risk for
2. Altered Growth and Development, risk for
3. Impaired Mobility, risk for
4. Impaired Gas Exchange, risk for
1
Rationale:
1. The skin should be monitored for breakdown in any area where the brace might rub against the skin.
2. The diagnosis of altered growth and development would not be the priority, and should be corrected by the wearing of the brace.
3. The diagnosis of impaired mobility would not be the priority, and should be corrected if the patient is compliant with wearing the brace.
4. Risk for impaired gas exchange is a late effect of scoliosis, and would not be the priority. If the patient is compliant with wearing the brace, the risk should be minimized.
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Emancipated minors are:
1. Economically self-supporting adolescents under 18 years of age, no longer living at home, and not subject to parental control. 2. Beginning to understand treatment risks. 3. Designated when child and parents do not agree. 4. Declared when there is a potential conflict of interest between the child and parents.
Severe depression in elderly people is not a factor in
a. Nursing home placement b. Memory and cognitive function c. Personal hygiene and activities of daily living d. Treatment of chronic disease processes
Mrs. Singer is a 68-year-old woman, 5 feet tall, 200 lb, admitted to a facility for complications related to her weight. She has lived alone since her spouse died 5 years ago. What is not a component of her rehabilitation?
a. Reduced calorie intake b. Exercise program c. Review of health complications of obesity d. Diet and exercise education
A client has been admitted to the health care facility for observation and will return home the same evening. The client has a gold ring, watch, reading glasses, and other personal belongings
What care should the nurse take with regard to these objects? A) Ask the client's relatives to take the belongings home. B) Keep the client's belongings secured in a locker. C) Allow the client to wear them unless moving out of the room. D) Hand over the belongings to the admitting department.