A female client is admitted with a number of diagnoses to the long-term care facility. The client is very upset about having to give up her own apartment
The nurse is reviewing the list of medical diagnoses in helping to collect data for the nursing care plan. Which diagnosis has the highest potential to result in long-term impairment for the client? A) Cellulitis of the left leg
B) Arthritis
C) Influenza
D) Fracture of the femur
B
Feedback:
The nurse should identify arthritis as a chronic illness that is likely to result in long-term impairment. Cellulitis of the left leg, influenza, and a fractured femur are conditions that can be treated and which have immediate favorable outcomes and are not likely to result in long-term impairment.
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Tania, who is in her tenth week of pregnancy, is concerned about the fetus growing inside her. Having her first child at the age of 40, she is worried that the baby may suffer from Down syndrome. Which of the following prenatal test would best suit Tania if she plans to obtain such information?
A in vitro fertilization B amniocentesis C pap smear test D chorionic villus sampling
A client tells the nurse that he experiences episodes of diarrhea that occur for days and he has no idea why. The nurse realizes that a cause of diarrhea would be:
a. overhydration. c. anticholinergic drug. b. malabsorption disorder. d. low-fiber diet.
During a group session, a flirtatious patient with mania shares that several patients and the nurse "have bodies that are really nice.". The most therapeutic response from the nurse would be:
a. "Please go to your room. You're being inappropriate to me and the other patients.". b. "I know your thoughts are very rapid right now. Let's walk to your room where you can take a 30-minute time-out.". c. "Were you aware before you spoke that what you just said would offend me and the other patients on the unit very much?" d. "Do not speak to me or others like this. Would you like to take this opportunity to apologize to me and the other patients?"
A former 24-week, premature infant is now adjusted in age to be one year of age. The baby has a known history of bronchopulmonary dysplasia
The parents of the child are asking if their baby will catch up in height and weight to her peers by the time she is 2 years old. The best reply from the nurse would be: 1. "Normally, premature infants will be the same height and weight as their peers by their second birthday.". 2. "The bronchopulmonary dysplasia requires your child's lungs to work harder to breath. This causes the body to have a higher metabolism, so she may remain on the small side for several years.". 3. "You baby is now healthy and will continue to grow at her own rate.". 4. "Your baby will remain small for most of her life due to the bronchopulmonary dysplasia.".