The nurse would choose the nursing diagnoses with the highest priority after surgery for the open reduction and external fixation of an ankle, which is:
1. risk for activity intolerance.
2. risk for infection.
3. risk for impaired physical mobility.
4. risk for constipation.
2
All are possible diagnoses, but the one that would have the highest priority is risk for infec-tion, because bone infections are serious complications which require much time and expense to treat.
PTS: 1 DIF: Cognitive Level: Analysis REF: 926
OBJ: 6 TOP: Nursing Diagnoses
KEY: Nursing Process Step: Nursing Diagnosis
MSC: NCLEX: Health Promotion and Maintenance
You might also like to view...
A hospice patient tells the nurse, "Life has been good. I am proud of being self-educated. I overcame adversity and always gave my best. I intend to die as I lived: optimistic."
The nurse planning care for this patient would recognize the importance of: a. providing aggressive pain and symptom management. b. helping the patient reassess and explore existing conflicts. c. assisting the patient to focus on the meaning in life and death. d. supporting the patient's use of own resources to meet challenges.
The nurse practitioner working in an overnight sleep lab is assessing and diagnosing patients with sleep apnea. During this diagnostic procedure, the nurse notes that a patient's blood pressure is 162/97
The nurse explains this connection to the patient based on which of the following pathophysiological principles? A) During apneic periods, the patient experiences hypoxemia that stimulates chemoreceptors to induce vasoconstriction. B) When the patient starts to snore, his epiglottis is closed over the trachea. C) When the airway is obstructed, specialized cells located in the back of the throat send signals to the kidney to increase pulse rate. D) When airways are obstructed, the body will retain extracellular fluid so that this fluid can be shifted to intravascular space to increase volume.
A nurse received an accidental needle stick while giving an IM injection. The greatest threat for the nurse is:
A) Hepatitis B (HBV) B) Hepatitis C (HCV) C) Human immunodeficiency virus (HIV) D) Hepatitis A (HAV)
A client in her third trimester is diagnosed with supine hypotension syndrome. Which of the following actions would the nurse instruct the client to take?
A) Lie on your side, preferably the left. B) Sleep on a hard mattress. C) Use a hot-water bag. D) Perform mild exercises.