A patient presents to the emergency department following a motor vehicle crash and suffers from a right femur fracture. The leg is stabilized in a full leg cast
Otherwise, the patient has no other major injuries, is in good health, and complains only of moderate discomfort. What is the most pertinent nursing diagnosis to be included in the plan of care based on the assessment data provided? a. Posttrauma syndrome
b. Constipation
c. Urinary retention
d. Acute pain
D
Based on the assessment data provided, the only supportive evidence for one of the diagnosis options is "Complains of moderate discomfort," which would support Acute pain. No supportive evidence is provided for any of the other diagnoses. The patient may indeed develop signs or symptoms of the other problems, but supportive data are presently lacking in the provided information.
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The nurse is helping a family decide to stay with a patient during cardiopulmonary resuscitation. Place in order the steps the nurse will take when helping the family decide. Click and drag the options below to move them up or down
1. Nurse introduces self to the family 2. Nurse explains the patient's current status. 3. Nurse explains the possibly outcome from cardiopulmonary resuscitation. 4. Nurse asks who the decision maker is in the relationship with the patient. 5. Nurse provides the family with options. 6. Nurse asks the family member if they have any questions.
The refinement and application of critical thinking is part of transitioning into the role of RN. Rather than performing a routine procedure, an LPN-RN student will learn to do which three things?
What will be an ideal response?
In assessing a patient with a history of poliomyelitis, the nurse suspects the right leg muscles are smaller than the left leg. What is the best approach for the nurse to confirm or reject this suspicion?
a. Palpating both legs using the pads of the thumb and index fingers and comparing one side with another b. Using a tape to measure each leg's circumference at the same location, above or below the nearest joint c. Using a goniometer to measure the upper and lower legs with the patient in supine and standing positions d. Palpating the legs using the tips of the thumb and index fingers, and comparing the findings with the Lovett scale
A quality improvement team is working to enhance teamwork among the staff in a newly developed Alzheimer's program. Which of the following statements would be an expected beha-vior that illustrates quantum leadership?
a. "After the meeting today, each member on this team will be a role model of good communication techniques to other staff members." b. "How would you describe an ideal colla-borative practice environment?" c. "What do you think about sharing our opinions today in a mutually respectful manner as we move around the table?" d. "You folks are highly motivated and smart enough to develop a plan on your own. I'll support you as needed."