A client is admitted with a gunshot wound to the leg. Which nursing diagnosis would be important to include in this client's plan of care?
A) Situational Low Self-Esteem
B) Risk for Infection
C) Anxiety
D) Ineffective Coping
Answer: B
A client with a gunshot wound is at risk for infection because the wound is severe and caused by trauma. The other nursing diagnoses may or may not be appropriate for the client at this time.
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The client asks the nurse to explain the reason for a chest tube insertion in treating a pneumothorax. Which is the best response by the nurse?
A) "Chest tube will allow air to be restored to the lung." B) "The tube will drain secretions from the lung." C) "Chest tubes provide a route for medication instillation to the lung." D) "The tube will drain air from the space around the lung."
A potassium-sparing diuretic has been prescribed for a client. Based on this prescription, the nurse expects what medication to be ordered?
1. Furosemide (Lasix) 2. Spironolactone (Aldactone) 3. Diltiazem (Cardizem) 4. Hydrochlorothiazide (HCTZ)
A client is to have a stool test for occult blood. The nurse is instructing the nursing assistant in the correct procedure for the test. The nursing assistant is correctly informed that:
1. Sterile technique is used for collection 2. Stool should be collected over a 3-day period 3. The specimen should be kept warm 4. A 1-inch sample of formed stool is needed
A male patient with type I diabetes mellitus and coronary artery disease is able to achieve an erection but cannot maintain it. What could be done to assist this patient?
A. Provide sildenafil (Viagra) teaching material. B. Discuss penile implant surgery. C. Suggest an O ring. D. Provide tadalafil (Cialis) teaching material.