A graduate nurse is preparing a care plan for an 88-year-old female admitted with type 2 diabetes mellitus. Which of the following nursing diagnoses would be most appropriate for this patient?
A) Risk for infection
B) Risk for fall
C) Tissue perfusion, Altered: circulatory
D) Tissue integrity, Impaired
A
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Nursing interventions for clients with intestinal obstruction include all of the following. Which action would be a priority?
a. administering IV fluid and electrolyte replacements as ordered b. checking weight daily c. giving oral care frequently d. monitoring intake and output every shift
The nurse is teaching student nurses about newborn screening. Which statement made by the student indicates understanding of the teaching?
a. "The newborn screening is not mandatory but voluntary." b. "It is acceptable to ‘layer' the blood on the Guthrie paper." c. "The initial specimen should be collected as close to discharge as possible." d. "It is best to collect the specimen before the newborn takes the first feeding."
During a mental status evaluation, a nurse's intuition may indicate:
a. clues about the patient's physical well-being. b. subtle emotions being expressed by the patient. c. areas to be explored in the predischarge interview. d. potential nursing diagnoses that relate to a patient knowledge deficit.
A nurse reads up on some of the more common cultural groups in the local area. How should the nurse interpret the information that is available about cultural groups?
A) Characteristics of cultural groups are normally consistent between every member of that group. B) Cultural generalizations can be useful and accurate, but they do not replace individualized assessment and care. C) It is simplistic and problematic to make generalized claims about members of a particular cultural group. D) It is unjust to categorize individual clients as being members of a specific cultural group.