After having a consultation with the orthopedic surgeon, a nurse has learned that a client's fracture will be treated with external fixation rather than with a cast
The nurse should recognize that this chosen treatment heightens the client's risk of what nursing diagnosis? A) Risk for Infection
B) Ineffective Coping
C) Sleep Deprivation
D) Risk for Trauma
A
Feedback:
Because external fixators involve a potential portal of entry for microorganisms, there is an increased risk of infection. External fixators do not have an increased risk of ineffective coping or sleep disturbance when compared to casting. Risk for trauma is present any time that a client is being treated for a fracture.
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A nurse is assisting a patient with Crohn's disease who has just undergone surgery to remove part of her small intestine. The nurse notices blood in the stool of the patient
Which of the following should be included as part of the nurse's responsibilities in caring for this patient? Select all that apply. A) Determining the origin of blood in the stool B) Performing emergency surgical repair of the small intestine C) Monitoring the patient's blood pressure D) Administering parenteral nutrition for the patient
After an incident in which staff intervention was required to control a patient's aggressive behavior, a critical incident debriefing will take place. Which topics should be covered during the debriefing group? Select all that apply
a. What, if anything, could have been done to prevent the patient's aggression? b. Which staff members could most improve their response and by what means? c. What feelings do staff have about the patient, and do they affect staff's effectiveness? d. Why was a dangerous patient admitted, and how can this be prevented in the future? e. Was anyone traumatized emotionally, and if so, how best can this be addressed? f. What changes could be made in future such situations to achieve a better outcome?
A patient has these arterial blood gas (ABG) results. In analyzing the data, the nurse recognizes the patient has which condition?
1. Metabolic acidosis 2. Metabolic alkalosis 3. Respiratory acidosis 4. Respiratory alkalosis
A client experienced bradycardia during electroconvulsive therapy (ECT). A nurse assigns a nursing diagnosis of decreased cardiac output R/T vagal stimulation occurring during ECT. Which outcome would the nurse expect the client to achieve?
A. The client will verbalize an understanding of the need for moving slowly after treatment. B. The client will maintain an oxygen saturation level of 88% 1 hour after treatment. C. The client will continue adequate tissue perfusion 1 hour after treatment. D. The client will verbalize an understanding of common side effects of ECT.