A client with an ostomy is irrigating it with about 500 ml of warm tap water and is holding the irrigating container about 36 inches above the stoma. Which nursing diagnosis best fits this situ-ation?
a. Constipation
b. Effective management of therapeutic regimen
c. Enhanced individual coping
d. Knowledge deficit
D
Using 500 to 1000 ml of warm tap water, the solution container should be suspended about 18 inches. This client needs further education.
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The school nurse recognizes that an adolescent comes from a family with limited financial resources. The nurse is developing a nursing care plan to assist the adolescent with his needs. An appropriate nursing diagnosis would be:
1. Altered financial support related to inadequate parental support. 2. Imbalanced nutrition: Less than body requirements related to familial financial difficulties. 3. Knowledge deficit related to sources of financial support. 4. Risk for injury related to imbalanced nutrition.
The community health nurse is formulating a nursing diagnosis. Which of the following should the nurse take into consideration when making this diagnosis?
a. Illness management for the health of the community b. Financial resources c. Time d. Availability of health care professionals
Feelings of grief and loneliness are common among elderly residents
Indicate whether the statement is true or false.
A patient with multiple gunshot wounds has received 8 units of blood; however, the blood bank has run out of blood for the patient. For which blood type can the patient receive any type of blood?
A. A B. AB C. B D. O