Divorce is emotionally draining for both spouses. Selection two is incorrect—even even though paracentesis may perhaps in some cases be indicated, it is not the major solution to the difficulty. Selection 2 refers to spiderlike abdominal veins that are also commonly identified in clientele with cirrhosis who have portal hypertension as a complication.
Many clientele could require direct care, or reinforcement of learning and application, in the dwelling atmosphere. Postpartum customers are at danger for urinary tract infections connected to urinary retention right after delivery. Contraceptive counseling is greatest carried out in private, determining the client’s requirements, desires, and risk aspects.
Mainly because of the higher fever (which could lead to seizures in incredibly young kids), the nurse requires to seek the advice of with the health care provider. The other choices would not straight affect the client’s overall health status. The establishment of a wellness care group working with a multidisciplinary strategy will support the client to recognize and understand person ambitions.
The nurse ought to then check the client’s oxygen saturation level. Alternative 1 is incorrect because an person can live with dementia for some time prior to death occurs, either from AIDS or a further lead to. Reminiscence therapy (option 1) is indicated for consumers who have memory deficits.
The nurse needs to administer the medication and monitor the client’s response to the medication. Extreme pain and an absent cremasteric reflex are not standard symptoms of the disorders listed in the other possibilities. Option four delivers no details at all for the child and does not address the client’s concern.
Selection three is incorrect for the reason that violence against family members does generally outcome from impaired individual coping. The nurse can continue to probe through the interview to recognize contributing elements to the client’s chief complaint. Solution 2 is a closed-ended question and may not aid the nurse explore the client’s concerns.
Selections 1 and two are not the most suitable initial approaches since the client is not encouraged to share her concerns, while later on in the interaction these may well be proper. The nurse’s priority is to safeguard the client from injury. All the other choices are proper interventions for a client with anemia, but they do not relate to the nursing diagnosis of activity intolerance.
Since the client has seasoned each injury and surgery to the physique, changes in body image should really be anticipated (selection 3). Possessing skilled an accident, this client is now in a circumstance (acute illness and hospitalization) that is anticipated to limit the client’s individual autonomy (alternative four). There is inadequate information and facts to suggest that adjustments in verbal communication ability (choice 1), cognitive patterns (selection two), or family members relationships (solution five) may occur.
Due to the fact the client with an consuming disorder is making use of food-associated behaviors as an unhealthy indicates of coping with strain, the client is also most likely to use other unhealthy coping methods, such as excessive alcohol intake (selection … Read More