Nokea
The healthcare provider is caring for a child on bed rest who has severe edema in the left lower extremity due to blocked lymphatic drainage. Which nursing diagnosis would take priority?
- A. Risk for Impaired Skin Integrity
- B. Risk for Altered Body Image
- C. Risk for Imbalanced Nutrition: Less Than Body Requirements
- D. Risk for Activity Intolerance
Correct Answer: A
Rationale: The priority nursing diagnosis in this scenario is 'Risk for Impaired Skin Integrity' because severe edema in the left lower extremity can lead to compromised circulation and pressure ulcers, increasing the risk of skin breakdown and infection. Addressing and preventing impaired skin integrity is crucial for the child's overall health and well-being.
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The body mass index (screening tool for children and adolescents to identify those overweight or at risk for being overweight) is defined as
- A. body weight in pounds divided by height in inches
- B. body weight in kilograms divided by height in meters squared
- C. body weight in grams divided by height in centimeters squared
- D. body weight in kilograms multiplied by height in meters squared
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which urinary diversion procedure is the least damaging to the body image of the adolescent?
- A. Urostomy
- B. Ileal conduit
- C. Nephrostomy
- D. Suprapubic placement
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which strategy is most effective in preventing existing challenging behaviors?
- A. Ignoring the behaviors
- B. Individualized interventions
- C. Providing flexible rules
- D. Punishment
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is the most important statement to include when teaching a patient who is prescribed metronidazole (Flagyl)?
- A. Take the medication with food.
- B. Avoid alcohol consumption.
- C. If you experience a metallic taste in your mouth, call your doctor.
- D. You can stop taking the medication once you feel better.
Correct Answer: B
Rationale: The most crucial statement to include when teaching a patient prescribed metronidazole (Flagyl) is to avoid alcohol consumption. Mixing metronidazole and alcohol can lead to a disulfiram-like reaction, causing severe symptoms such as nausea, vomiting, and headache. Therefore, it is essential to emphasize to the patient the importance of abstaining from alcohol while taking this medication to prevent adverse reactions.
A nurse is teaching a parent of a child who has asthma. Which of the following instructions should the nurse include?
- A. Use a peak flow meter daily.
- B. Administer the medication with meals.
- C. Provide a low-carbohydrate diet.
- D. Limit exposure to cold air.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.