A star quarterback on the high school football team is injured in a motorcycle accident. He will be unable to play football again. Which nursing diagnosis is most appropriate when planning care specific to coping?
a. Impaired physical mobility
b. Situational low self-esteem
c. Impaired social interaction
d. Impaired comfort
B
Athletes who sustain injuries can have low self-esteem related to their altered body image.
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After a Foley catheter has been removed, the nurse should assess the patient carefully for:
a. hemorrhage. b. constipation. c. urinary retention. d. bladder spasm.
The nurse and client are in the orientation phase of the nurse-client relationship. Which statement by the client would indicate that the client is testing the nurse?
a. What is your name? b. How many times have you done this procedure? c. When will the procedure be done? d. Will the procedure hurt?
A 60-year-old female patient who has taken traditional antipsychotic medication for 20 years should be screened for
a. osteoporosis. b. metabolic syndrome. c. polycystic ovary disease. d. NMS.
A nurse is assessing a client for pain. Which scales require the client to describe the nature and intensity of the pain to the nurse?
1 . FLACC scale 2 . Wong-Baker Faces Pain Scale 3 . McGill-Melzack Pain Questionnaire 4 . Numerical scale 0 to 10 A) 1, 2 B) 1, 4 C) 2, 3 D) 3, 4