A client with severe right-sided abdominal pain is experiencing a miscarriage. Which nursing diagnosis is most appropriate for this client?
A) Anxiety
B) Grieving
C) Interrupted Family Processes
D) Ineffective Coping
Answer: B
A pregnant mother, no matter how early, sees the fetus as a baby and can be expected to grieve the loss. Because the mother has already lost the fetus, Anxiety is not the primary diagnosis. Until the nurse is able to assess the mother's grief process, Ineffective Coping and Interrupted Family Processes are not the priority diagnoses.
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One advantage of selecting continuous enteral feeding for a client who is unable to eat by mouth is that it:
a. is easier to administer and requires minimal equipment b. keeps gastric volume small, reducing risk of aspiration c. is less irritating than intermittent feedings d. requires less effort for digestion to occur
A client is administered dialysate solution through an abdominal catheter. The nurse notices that the return flow rate is slow, so the nurse advises the client to move to the other side
However, even after changing the client's position, the nurse does not observe an increase in return flow. Which of the following actions should the nurse perform to help accelerate the return flow rate? A) Disconnect the catheter and reapply. B) Loosen the tubing clamp. C) Inform the physician that catheter may need repositioning. D) Stop the process for 5 minutes and resume later.
A measuring board is typically used to determine the recumbent length of a child who is under the age of
a. 1 year. c. 3 years. b. 2 years. d. 4 years.
A nurse is caring for a client of another culture. Which of the following actions would be most appropriate for the nurse to take?
a. Alter personal nonverbal behaviors to reflect the cultural norms of the client. b. Keep all behaviors culturally neutral to avoid misinterpretation. c. Rely on friendly gestures to communicate caring for the client. d. Avoid any pretense of prejudice by treating the client in the same way as any other client.