A patient has suffered from several infections in the last 6 months and unexplained impaired wound healing. What assessment should the nurse prioritize?
A) Assess for pain.
B) Assess for nutritional deficiencies.
C) Assess genetic tendency for infection.
D) Assess for edema and decreased hemoglobin.
B
Feedback:
Nutritional deficiencies may impair the function of essentially every body function. Signs and symptoms include unintended weight loss, increased susceptibility to infection, and impaired wound healing. The development of infection and impaired wound healing would require assessment for pain but would not provide evidence of cause. The nurse would not be able to assess genetic tendency. Edema and decreased hemoglobin would not explain the etiology of suffering infections and impaired wound healing.
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The client at 9 weeks' gestation has been told that her HIV test was positive
The client is very upset, and tells the nurse, "I didn't know I had HIV! What will this do to my baby?" The nurse knows teaching has been effective when the client makes which statement? 1. "I cannot take the medications that control HIV during my pregnancy, because they will harm the baby." 2. "My baby can get HIV during the pregnancy and through my breast milk." 3. "The pregnancy will increase the progression of my disease and will reduce my CD4 counts." 4. "The HIV won't affect my baby, and I will have a low-risk pregnancy without additional testing."
Informed consent is needed for restraint use
Indicate whether the statement is true or false.