A patient who experienced a traumatic

A patient who experienced a traumatic amputation of the leg tells the RN ill never be the same without my leg” The RN identifies grieving as the nursing diagnosis. Which considerations are necessary for establishing an outcome for this patient- SELECT ALL THAT APPLY

1. describe the desired resolution of the problem
2. provide examples of outcomes previously useful with other patients
3. collaborate on an outcome realistic to the patient
4. inquire about the patients culture and religious beliefs
5. ask about the personal meaning of the loss

1. which statement made by the parent to the RN raises concerns about a childs risk for maltreatment? SELECT ALL THAT APPLY:
2. I really did not plan or want to have children until i finished school
3. somedays it takes all my energy to get out of bed
4. i wish my child would not cry when my new significant other is present
5. a glass of wine during the day helps me cope with the stress of parenting
6. I restricted use of all electric toys because of my childsbehavior

1. The RN prioritizes the nursing diagnosis of deficient fluid volume, acute pain and risk for infection for a patient in the emergent resuscitativephase of a second degree burn. As the patient enters the rehabilitationphase what changes are made in the patients plan of care?
2. change deficient fluid to a risk for diagnosis
3. initiate the nursing diagnosis of ineffective coping
4. resolve the risk for infection after the acute resuscitative phase
5. identify the patient as a risk for post traumatic syndrome

1. a woman with sub-fertility tells the RN i know why am having difficulty i had an abortion as a teenager and now I'm being punished. what is an approbate nursing diagnosis for this woman?
2. ineffective self help management
3. spiritual distress
4. powerlessness
5. deficient knowledge

1. which nursing interventions would move a patient with ineffective airway clearance towards the outcome of the patient will demonstrate clear breath sounds?

SELECT ALL THAT APPLY

1. elevate the HOB at 45 degree
2. administer influenza vaccine prior to discharge
3. administer oxygen at prescribed rate
4. encourage activity and ambulation

1. a patient seeks medical care for fatigue, noctura, urinary frequency and urgency. what additional data cue supports the nursing diagnosis of urninary retention?

tympanic sounds when abdomen is percussed

1. mild discomfort in the pelvic area
2. residual of urine 75ml
3. hematuria

1. a pregnant woman in the third trimester develops sudden sharp abdominal pain with vaginal bleeding which nursing diagnosis indicates a priority problem?
2. risk for deficient fluid volume
3. risk for impaired gas exchange
4. ineffective childbearing process
5. acute pain

1. A RN completing a health history on an older adult, which remark is appropriate when beginning to inquire about sexual health?
2. I have to ask the next few questions on sex
3. let me put the curtains around the bed before we discuss this topic
4. how is your relationship with your partner
5. since your spouse recently died, do you want to skip the questions on sex

1. what symptoms reported to the rn by the pregnant woman in the third trimester is an unexpected but significant finding that requires prompt reporting to the health care provider
2. inability to lie flat
3. dyspnea on exertion
4. nighttime cough
5. frequent urination

1. a patient with a new diagnosis of cancer tells the RN I just dont know what to do, several members of my family had cancer and the treatment was difficult. which is the priority nursing diagnosis
2. deficient knowledge
3. decisional conflict
4. self care deficient
5. ineffective health maintenance