The nurse anticipates that which of the following clients will be at highest risk for skin problems?
1. The client with diabetes mellitus
2. The client with pneumonia
3. The client with an acute asthma attack
4. The client with a gastrointestinal bleed
1
Rationale: The client with diabetes has poor peripheral circulation, and is prone to slowed wound healing, especially on the lower extremities. The nurse would perform a thorough skin assessment on this client and provide hygienic care with caution, being very gentle. The diabetic client is more prone to skin infections than is the client with pneumonia, asthma, or a GI bleed.
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A pregnant patient who has diabetes has been admitted to the hospital to begin labor. Since the patient has diabetes, the physician has decided to use oxytocin (Pitocin) to initiate labor contractions
When talking to the patient about the adverse effects of the drug, the nurse should understand that the most common adverse effects of the drug include A) metabolic alkalosis. B) uterine tachysystole. C) electrolyte imbalances. D) water intoxication.
A student nurse did not realize that individuals may differ in their philosophies. The nurse educator explained that philosophies:
a. are a way of looking at the world through rose-colored glasses. b. are a rational investigation of truths, reality, and human behavior. c. are an investigation into behaviors and truths but not necessarily into reality. d. stem from a person's beliefs, opinions, and principles of bioethics.
A client scheduled to undergo a lymph node biopsy asks, "If lymph nodes are so prone to cancer, why don't they just take them all out?" How should the nurse respond?
Standard Text: Select all that apply. 1. "Lymph nodes filter out all kinds of debris and are essential to our good health." 2. "The surgeon will probably take out a majority of the nodes in the region where the biopsy will be done." 3. "The cells that are in the lymph nodes actually help protect us from cancer." 4. "The lymph nodes make up one of our best defenses against infection." 5. "They usually do take out all the lymph nodes if the client has lymphoma."
Mrs. Dopson is a 75-year-old widow who lost her last offspring to cancer last month. She shares with the nurse that she fears being alone. The nurse knows that this is related to which of the following spiritual needs believed to be common to all people?
a. Need for meaning and purpose b. Need for love and relatedness c. Need for forgiveness d. Need basic necessities of life