The nurse notes that the patient has developed a hematoma at the knee replacement surgical site with a decreased pedal pulse of the same leg. The most appropriate nursing diagnosis for this patient is:
A) Risk for infection
B) Risk of peripheral neurovascular dysfunction
C) Ineffective health maintenance
D) Self-esteem disturbance
Ans: B
Feedback: The hematoma may cause an interruption of tissue perfusion, so the most appropriate nursing diagnosis is Risk of peripheral neurovascular dysfunction.
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A patient with chronic bronchial asthma is prescribed montelukast (Singulair). What will the nurse instruct the patient to avoid taking?
A) Aspirin B) Penicillin C) Sertraline (Zoloft) D) Nifedipine (Procardia)
The nurse is planning for an adolescent parenting class. Which topics would be priorities for the nurse to include in the adolescent class? Select all that apply
1. Sexuality in pregnancy 2. Newborn care 3. Birth settings 4. Health dangers for the baby 5. How to be a good parent Correct
The various systems and organs develop at different stages. Which statement is accurate?
a. The cardiovascular system is the first organ system to function in the developing human. b. Hematopoiesis originating in the yolk sac begins in the liver at 10 weeks. c. The body changes from straight to C-shaped at 8 weeks. d. The gastrointestinal system is mature at 32 weeks.
A routine urinalysis is collected by the client and given to the nurse. Results confirm there are no problems involving the urinary system. Which of the following results give this conclusion?
A) pH 6 and no glucose present B) Dark amber color and output less than 500 cc in 24 hours C) Blood present and no ketones D) Specific gravity 1.035 and faint aromatic odor