A woman cares for her husband with a C7 spinal cord injury. The patient requires frequent turning, help with all activities of daily living, catheterization every 3 hours around the clock, and daily wound care for a pressure ulcer
They have three children ages 5 to 12. The wife is exhausted, cannot sleep at night, and has no one to help her. Which of the following outcome criteria would be relevant to a nursing diagnosis of Caregiver Role Strain for this patient's plan of care?
a. Caregiver maintains patient's health.
b. Caregiver accepts constructive criticism.
c. Caregiver accepts responsibility for own actions.
d. Caregiver identifies resources available to assist with care.
ANS: D
This woman needs help, and the nurse can help identify resources to assist her. A, B, and C are good things but do not address the role strain diagnosis.
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1. Eyeballs are firm to palpation. 2. Pupils are constricted bilaterally. 3. Central vision is impaired. 4. The client has a history of syphilis.
Evaluation research looks at the effectiveness of a program, policy, or procedure to impact decision-making. Which of the following lists the three analysis components of an evaluation?
A) Process, Impact, and Outcome analyses B) Structure, Impact, and Outcome analyses C) Impact, Process, and Economic analyses D) Process, Efficacy, and Economic analyses
How can you measure Arterial Blood Gases?
a. In the radial or ulnar artery b. In the vein c. Neither d. Both a and b
A client is admitted with edema of the occipital lobe following a head injury. The nurse would correlate which finding with damage to this area?
a. Ipsilateral ptosis b. Impaired vision c. Pupillary constriction d. Increased intraocular pressure