The nurse is caring for a pediatric client recovering from surgery for a perforated appendix. Which nursing diagnosis should the nurse use to guide this client's care during the immediate postoperative period?

A) Risk for Chronic Pain
B) Risk for Impaired Perfusion
C) Risk for Deficient Fluid Volume
D) Risk for Infection


Answer: D

Since the client is recovering from an appendectomy, the client will most likely have acute pain. There is no evidence to suggest the client is at risk for impaired perfusion or deficient fluid volume. Because the appendix ruptured before surgery, the client is at risk for infection, specifically peritonitis.

Nursing

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A parent has requested access to his child's medical records at a school-based health clinic. Which of the following statements about access and release of a minor's medical record is cor-rect?

a. Reproductive information is protected by the Health Insurance Portability and Ac-counting Act (HIPAA). b. A minor cannot get birth control without parental consent. c. Medical records are available to anyone who wishes to access them. d. Parents can legally access all medical rec-ords of a minor child.

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The postpartum patient states that she doesn't understand why she can't enjoy being with her baby. The nurse is concerned about:

1. Postpartum psychosis. 2. Postpartum infection. 3. Postpartum depression. 4. Postpartum blues.

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Before applying for re-licensure, the nurse attends continuing education programs. Which action is the nurse performing to adhere to the state board of nursing expectation?

1. Licensure 2. Competency 3. Credentialing 4. Certification

Nursing

A nurse has just received word that Medicaid will reimburse for care provided to a homeless man with schizophrenia who is afraid to come to the clinic to receive health care. Which of the following best describes this type of nursing?

a. Community-oriented nursing b. Home health nursing c. Hospice nursing d. Private duty nursing

Nursing