The nurse is updating the care plan of a patient who must undergo a right mastectomy for breast cancer. Which nursing diagnosis should the nurse anticipate in expectation of the body changes associated with the upcoming surgery?
a. Deficient Knowledge
b. Impaired Adjustment
c. Hopelessness
d. Grieving
ANS: D
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The patient's condition has deteriorated to the point where she can no longer make decisions about her own care. Which of the following nursing interventions would be most appropriate?
a. Obtain a verbal DNR order from the physician. b. Continue caring for the patient as originally ordered because she obviously wanted this. c. Consult the hospital attorney for recommendations on how to proceed. d. Discuss with the family what the patient's wishes would be if she could make those decisions herself.
A nursing student is undergoing a community health clinical rotation. One of the patients is a 53-year-old grandmother who has recently assumed custody of her daughter's two young children, ages 3 and 5 years old
Regarding the children's welfare, which of the following is most important for the nursing student to assess on this visit? a. The patient's financial ability to care for two young children b. The patient's knowledge of safety precautions for young children c. The patient's emotional stability d. The patient's feelings regarding taking on this responsibility
Following a motorcycle accident, a client is brought to the emergency department with multiple fractures
Which assessment finding would be most significant in determining the client has also suffered a closed head injury with rising intracranial pressure? A) Blood pressure 100/60 mm Hg B) Lethargy C) Nausea D) Periorbital edema
Which of the following is a common bacterial infection?
a. measles c. common cold b. urinary tract infection d. chickenpox