A 64-year-old patient is admitted to the hospital with severe diarrhea. When assessing the patient, the nurse notes a round "moon" face, a buffalo hump at the nape of the neck, and a velvety discoloration around the neck
What are these signs indicative of?
A) Myxedema
B) Cushing's syndrome
C) Scleroderma
D) Bell's palsy
B
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A patient is recovering from colostomy surgery and states, "I guess I'll never be able to have sex again...who would want me?" What nursing diagnosis is most important for this patient?
a. Sexual dysfunction b. Ineffective sexuality pattern c. Knowledge deficit d. Ineffective coping
The nurse is performing a respiratory assessment of a patient who has been experiencing episodes of hypoxia. The nurse is aware that this is ultimately attributable to impaired gas exchange. On what factor does adequate gas exchange primarily depend?
A) An appropriate perfusion–diffusion ratio B) An adequate ventilation–perfusion ratio C) Adequate diffusion of gas in shunted blood D) Appropriate blood nitrogen concentration
The nurse notes that a woman who has given birth 1 hour ago is touching her infant with the fingertips and talking to him softly in high-pitched tones. Based on this observation, the nurse should:
a. Document this evidence of normal early maternal-infant attachment behavior. b. Observe for other signs that the mother may not be accepting of the infant. c. Request a social service consult for psychosocial support. d. Determine whether the mother is too fatigued to interact normally with her infant.
A nursing instructor educates a student nurse about the correct application of a vest restraint. The student nurse demonstrates understanding when applying the vest restraint so that the crossover is
1. In the back. 2. In the front. 3. On the left side. 4. On the right side.