The nurse, when selecting possible nursing diagnoses for the 32-year-old patient who is in anticipatory grieving for an upcoming bilateral above-knee amputation, would consider (se-lect all that apply):
1. anxiety related to knowledge deficit of procedure.
2. disturbed body image related to loss of body part.
3. sexual dysfunction related to perceived disfigurement.
4. disturbed self-image related to loss of independence.
5. activity intolerance related to pain.
1, 2, 3, 4, 5
All concerns mentioned would need to be addressed.
PTS: 1 DIF: Cognitive Level: Synthesis REF: 938
OBJ: 5 TOP: Preoperative Nursing Diagnoses
KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance
COMPLETION
You might also like to view...
A 45-year-old woman is at the clinic for a mental status assessment. In giving her the Four Unrelated Words Test, the nurse would be concerned if she could not ____ four unrelated words ____
a. Invent; within 5 minutes b. Invent; within 30 seconds c. Recall; after a 30-minute delay d. Recall; after a 60-minute delay
A client is scheduled for cystoscopy to determine which of her kidneys is diseased. Which of the following is a nursing consideration when caring for this client?
A) Obtain a urine culture immediately after the test. B) Help the client with sitz baths to ease voiding. C) Report any blood-tinged urine following the procedure. D) Keep the client NPO for 24 hours following the procedure.
Heat applications:
a. Reduce bleeding b. Decrease blood flow c. Promote healing d. Numb the skin
Which leadership theory centered on the interaction between leaders and followers?
a. Trait b. Skills c. LMX d. Style