Which client is at the greater risk for the nursing diagnosis Ineffective tissue perfusion?
1. 30-year-old male construction worker
2. 17-year-old male football player
3. 36-year-old 2 pack/day smoker with a career as a bartender
4. 45-year-old female police officer
ANS: 3
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A laboring client has been very quiet during labor, and has made no noise during contractions during the past four hours. The client is of Chinese descent. The nurse understands that this indicates that the client:
1. Believes pain should be endured and not expressed. 2. Is not in the active phase of labor yet. 3. Will not need pain medication during her hospitalization. 4. Has been abused by her husband and is afraid to verbalize fear.
The nurse is assessing a client's eyes during a comprehensive health assessment. Which assessment finding would require immediate intervention?
1. Acute glaucoma. 2. Blepharitis. 3. Periorbital edema. 4. Anisocoria.
The LPN is working with a team of nurses in order to develop protocols for managing care of clients who are having peritoneal dialysis on their unit. What type of care mapping would the nurse use for the development of these standards?
A) Nursing care plan B) Standing orders C) Recipe for care D) Clinical pathways
Emotional exhaustion occurs in burnout
Indicate whether the statement is true or false