NU 270 week 5

Resolve the clients anxiety

A client is scheduled for surgery for an abdominal hysterectomy. During the preoperative assessment, the client states, "I am very nervous and scared to have surgery." What client outcome is the priority?

Collaborative health problem

Which type of health problem requires both physician- and nurse-prescribed actions to address?

"My father was diagnosed with depression in his 40s."

A nurse is conducting an assessment of a client. Which client statement would indicate to the nurse that the client has a nonmodifiable risk factor for mental health problems?

WBC count

A client is being treated with clozapine. What should the nurse monitor most closely?

Tachycardia, weight loss, and mood swings

Nursing implications for a client taking central nervous system (CNS) stimulants include monitoring the client for which conditions?

foot drop

A nurse applies padded boots to maintain the foot in dorsiflexion to a client who is comatose. The nurse is protecting the client from:

Dusk or mottled skin color

The nurse is performing a neurovascular assessment of a client's injured extremity. Which would the nurse report?

Bathing self deficit

A client has been diagnosed with schizophrenia. Assessment reveals that the client lives alone. The client's clothing is disheveled, the client's hair is uncombed and matted, and the client's body has a strange odor. During an interview, the client's family members voice a desire for the client to live with them when the client is discharged. Based on the assessment findings, which nursing diagnosis would be the priority?

Decreased Cardiac Output related to altered cardiac function

A nurse is caring for a patient admitted to the intensive care unit because of heart failure. The patient is prescribed digoxin. Which nursing diagnosis would be appropriate for this patient?

Providing comfort measures

Which reflects basic nursing measures in the care of the client with viral encephalitis?

before, during, and after the operative phase.

The nurse knows the term perioperative phase refers to care given to the client:

Firm, hard, embedded in surrounding tissue

Which is a characteristic of a breast cancer mass?

pain related to edema and headache

Which nursing diagnosis would best apply to a child with allergic rhinitis?

Retroversion

Which position occurs when the uterus turns posteriorly as a whole unit?