When selecting nursing diagnoses for the 4-year-old child with nephrosis, what should be a priority for the nurse?
a. Impaired body image
b. Skin impairment
c. Nutritional deficit
d. Injury
ANS: B
Nephrosis is a clinical state characterized by gross edema, which makes skin care a priority.
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A) Orifice B) Piston C) Barrel D) Tip E) Plunger
You are caring for a patient who has developed pulmonary edema. What is a priority nursing action?
A) Lay the patient flat. B) Notify the family of patient's critical state. C) Stay with the patient. D) Call the physician.
When do condoms need to be applied to be effective?
A) As soon as the penis becomes erect B) At least 1 hour prior to coitus C) Before penile-vulvar contact D) Immediately after ejaculation
The nurse assesses the patient admitted with constipation. Which assessment finding warrants further investigation?
a. No aortic bruit b. Firm liver edge c. Bowel sounds audible d. Abdomen distended and taut