The nurse is caring for a homeless client who has been seen in the mobile clinic every week for the past month because of a foot infection. A priority nursing diagnosis for this client is:
A) Social Isolation related to homelessness.
B) Altered Health Maintenance related to homelessness.
C) Chronic Low Self-Esteem related to foot disorder and homelessness.
D) Altered Nutrition, less than body requirements, related to poor eating.
B
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Which assessment findings indicate to the nurse that a child has excess fluid volume? Select all that apply
a. Weight gain b. Decreased blood pressure c. Moist breath sounds d. Poor skin turgor e. Rapid bounding pulse
The client has been started on Halcion and tells the nurse that she is concerned about developing a tolerance for the drug. What is the nurse's highest priority instruction to the client?
a. "Do not use the medication for longer than 7 to 10 days at a time." b. "Do not stop the medication for any reason." c. "Do not use the medication for longer than 6 weeks." d. "Do not take any other medication when taking this drug."
A client, diagnosed with renal failure, is prescribed enteral nutrition. The enteral food product will contain which of the following?
1. Lower protein content 2. Higher fat content 3. Lower calorie content 4. Lower carbohydrate content
An adult client is prescribed dantrolene sodium ((Dantrium) for spasms related to progression of multiple sclerosis. Which intervention is most important for the nurse to include in this client's care plan?
1. Teach the client the importance of using sunscreen when taking this medication. 2. Assess the client for pain using the pain scale and range of motion. 3. Monitor the client for sedation. 4. Monitor liver function tests.