A toddler-age client being prepared for a lumbar puncture begins to cry when carried into the treatment room by the mother
Which nursing diagnosis is most appropriate for the client at this time?
A) Knowledge Deficient of the procedure
B) Anxiety related to anticipated painful procedure
C) Fear related to the unfamiliar environment
D) Ineffective Coping related to an invasive procedure
Answer: B
The Question Stem indicates that the child associates the treatment room with a painful procedure, and the reaction to entering the treatment room is based on anticipation of repeat discomfort. The child's behavior is appropriate for coping in a child of this age. This child is not old enough to understand the need for a lumbar puncture. The child's fear is related not to the unfamiliar environment but to the anticipated pain associated with the treatment room. The Question Stem indicates that the child has been through painful procedures in the treatment room, so Knowledge Deficient is not the most appropriate diagnosis.
You might also like to view...
During patient teaching, a young woman asks the nurse the following question: "If I get pregnant on the 'pill,' should I continue to take it?" What is the nurse's best response?
A) "The pill has no effect on pregnancy." B) "The pill will cause miscarriage." C) "This is a personal choice for each woman." D) "The pill can be harmful to the fetus and should be discontinued."
Which of the following nursing actions would be the most helpful to the community's long-term health?
a. Careful assessment, diagnosis, planning, and giving care to individual patients and their families b. Dialogue with community members concerning what health issues are of importance in that community c. Focusing on family health through school-based neighborhood clinics d. Helping the community create political change through organization, use of media, legislative lobbying, and mass demonstrations
Donors who are less likely to be adequate bone marrow transplant would include: (Select all that apply.)
a. uncle. b. nephew. c. parent. d. sibling.
Order: cefuroxime axetil (Ceftin) 200 mg, PO, b.i.d. Available: Ceftin 250 mg/5 mL How many mL will the patient receive per dose?
What will be an ideal response?