A breast biopsy indicates the presence of malignant cells, and the client is scheduled for a mastectomy. Which nursing diagnosis would the nurse most likely include in the client's preoperative plan of care as the priority?
A) Risk for deficient fluid volume
B) Activity intolerance
C) Disturbed body image
D) Impaired urinary elimination
C
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The underlying problem in myocardial infarction (MI) is that
a. The heart muscle is not receiving enough blood to operate properly b. The heart stops pumping blood c. The heart valves have become stiff and do not close properly d. The major blood vessels bringing blood to the heart become occluded, causing peripheral edema and lung congestion
A patient with a lack of oxygen to his heart will have pain in his chest and possibly in the shoulder, arms, or jaw. The nurse knows that the best explanation why this occurs is which one of these statements?
a. A problem exists with the sensory cortex and its ability to discriminate the location. b. The lack of oxygen in his heart has resulted in decreased amount of oxygen to the areas experiencing the pain. c. The sensory cortex does not have the ability to localize pain in the heart; consequently, the pain is felt elsewhere. d. A lesion has developed in the dorsal root, which is preventing the sensation from being transmitted normally.
Many medications are available to control nausea and vomiting without oversedating the patient. At what point should a nurse normally administer antiemetics to a surgical patient?
A) Upon admission from PACU B) When the patient reports that he or she will soon vomit C) At the patient's first report of nausea D) When nonpharmacologic interventions are unsuccessful
Compared with an adult's, the eustachian tube of a child is
a. narrower and longer. c. shorter and more crooked. b. more horizontal, shorter, and wider. d. wider, longer, and more vertical.