Which nursing diagnoses should the nurse include in the plan of care for a pediatric client who experiences a traumatic brain injury (TBI)? Select all that apply
1. Risk for Ineffective Tissue Perfusion: Cerebral
2. Risk for Aspiration
3. Risk for Imbalanced Fluid Volume
4. Compromised Family Coping
5. Chronic Pain
1, 2, 3, 4
Explanation:
1. This is an appropriate nursing diagnosis for the nurse to include in the plan of care for the client.
2. This is an appropriate nursing diagnosis for the nurse to include in the plan of care for the client.
3. This is an appropriate nursing diagnosis for the nurse to include in the plan of care for the client.
4. This is an appropriate nursing diagnosis for the nurse to include in the plan of care for the client.
5. This nursing diagnosis is more appropriate for a client diagnosed with cerebral palsy, not a TBI.
You might also like to view...
A male patient who had a segmental left lung resection for treatment of a lung carcinoma returns from surgery with a left posterior-lateral chest tube attached to a disposable water-seal chest drainage system
Which of the following signs would indicate that the drainage system is working properly? A) Air is bubbling in the water-seal chamber. B) The fluid level in the drainage chamber remains constant. C) The fluid level in the water-seal chamber fluctuates. D) A pneumothorax is present.
A previously healthy adult's sudden and precipitous decline in health has been attributed to fulminant hepatic failure, and the patient has been admitted to the intensive care unit
The nurse should be aware that the treatment of choice for this patient is what? A) IV administration of immune globulins B) Transfusion of packed red blood cells and fresh-frozen plasma (FFP) C) Liver transplantation D) Lobectomy
A client tells the nurse that she has difficulty sleeping when she has to rotate between working the day shift and the night shift. The nurse realizes that which of the following is most likely being disrupted in this client?
a. ultradian rhythm c. infradian rhythms b. circadian rhythm d. circannual rhythms
Digitalis therapy is begun with ________ doses to bring the blood level up to a certain point; this is called the period of digitalization.
Fill in the blank(s) with the appropriate word(s).