Assignment: Traumatic Amputation

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 APPLYdescribe the desired resolution of the problemprovide examples of outcomes previously useful with other patientscollaborate on an outcome realistic to the patientinquire about the patients culture and religious beliefsask about the personal meaning of the losswhich statement made by the parent to the RN raises concerns about a childs risk for maltreatment? SELECT ALL THAT APPLY:I really did not plan or want to have children until i finished schoolsomedays it takes all my energy to get out of bedi wish my child would not cry when my new significant other is presenta glass of wine during the day helps me cope with the stress of parentingI restricted use of all electric toys because of my childsbehaviorThe 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?change deficient fluid to a risk for diagnosisinitiate the nursing diagnosis of ineffective copingresolve the risk for infection after the acute resuscitative phaseidentify the patient as a risk for post traumatic syndromea 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?ineffective self help managementspiritual distresspowerlessnessdeficient knowledgewhich nursing interventions would move a patient with ineffective airway clearance towards the outcome of the patient will demonstrate clear breath sounds?SELECT ALL THAT APPLYelevate the HOB at 45 degreeadminister influenza vaccine prior to dischargeadminister oxygen at prescribed rateencourage activity and ambulationa 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 percussedmild discomfort in the pelvic arearesidual of urine 75mlhematuriaa pregnant woman in the third trimester develops sudden sharp abdominal pain with vaginal bleeding which nursing diagnosis indicates a priority problem?risk for deficient fluid volumerisk for impaired gas exchangeineffective childbearing processacute painA RN completing a health history on an older adult, which remark is appropriate when beginning to inquire about sexual health?I have to ask the next few questions on sexlet me put the curtains around the bed before we discuss this topichow is your relationship with your partnersince your spouse recently died, do you want to skip the questions on sexwhat 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 providerinability to lie flatdyspnea on exertionnighttime coughfrequent urinationa 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 diagnosisdeficient knowledgedecisional conflictself care deficientineffective health maintenance

 

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