What is the priority nursing diagnosis for a client in a rehabilitation program after a stroke that caused extensive right-sided weakness?
A. Self-Care Deficit—Partial
B. Risk for Impaired Skin Integrity
C. Constipation
D. Impaired Physical Mobility
B
The client already has a self-care deficit and impaired physical mobility related to the stroke. These problems greatly increase the risk for the client to experience skin breakdown, complicating or interfering with the recovery and rehabilitation efforts.
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The results of a patient's most recent blood work and physical assessment are suggestive of immune thrombocytopenic purpura (ITP). This patient should undergo testing for which of the following potential causes? Select all that apply
A) Hepatitis B) Acute renal failure C) HIV D) Malignant melanoma E) Cholecystitis
The client with hypermagnesemia has a blood pressure of 90/40, compared with the 108/80 reading obtained 1 hour earlier. What is the nurse's best first action?
A. Assess bowel sounds and measure abdominal girth. B. Increase the intravenous infusion rate. C. Document the finding as the only action. D. Notify the emergency team.
Write 72% as a decimal number and a proper fraction in lowest terms
1. 7.2; 72/1000 2. 7.2; 72/100 3. 0.72; 36/50 4. 0.72; 18/25
Where should the positive electrode for lead V5 be positioned?
a. Right side of the sternum, fourth intercostal space b. Left midaxillary line at the same level as V4 c. Left side of the sternum, fourth intercostal space d. Left anterior axillary line at the same level as V4