A client, with a BMI of 35, is recovering from total hip replacement surgery and is experiencing pain exacerbated with movement and states to the nurse, "I live alone. How will I ever be able to return to my home?"
Based on this data, which is the priority nursing diagnosis for this client?
A) Imbalanced Nutrition: More than Body Requirements
B) Acute Pain
C) Impaired Physical Mobility
D) Ineffective Coping
Answer: B
The priority nursing diagnosis is Acute Pain. Unless the pain is controlled, the client will not be able to participate in interventions to address the nursing diagnosis of Impaired Physical Mobility. The diagnoses of Ineffective Coping and Imbalanced Nutrition can be addressed after Acute Pain and Impaired Physical Mobility have been addressed.
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The nurse is caring for an older adolescent client diagnosed with malignant melanoma. Which nursing diagnoses would be appropriate when planning this client's care?
Select all that apply. A) Impaired Skin Integrity B) Risk for Compromised Human Dignity C) Anxiety D) Risk for Acute Confusion E) Disturbed Body Image
A client with chronic back pain tells the nurse that he notices the pain is less when he is taking an allergy pill for his sinuses. The nurse realizes this client's pain is reduced because:
a. the client is focusing on the allergy and not on the pain. b. the client is really not experiencing pain. c. the client is addicted to allergy pills. d. the allergy pill is blocking the release of histamine, which contributes to pain.
The sensory system that is least mature at the time of birth is:
1. vision. 2. hearing. 3. smell. 4. taste.
Proposed mechanism(s) for hypoglycemic action of sulfonylureas:
a. enhancement of insulin release from pancreatic beta cells b. increase of serum glucagon levels c. All of the above