Global Rationale Cognitive Level Analyzing Client Need Health Promotion and

Global rationale cognitive level analyzing client

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Global Rationale: Cognitive Level: Analyzing Client Need: Health Promotion and Maintenance Client Need Sub: Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: 50-1 Question 22Type: MCSAA patient is diagnosed with a compound fracture and is scheduled for immediate surgery. Which nursing diagnosis would have the highest priority in the immediate postoperative period? 1. Impaired Transfer Ability2. Risk for Post-Trauma Syndrome3. Risk for Infection4. Risk for FallsCorrect Answer: Rationale 1: The patient may have difficulty with transfers, but this is not the greatest priority.Rationale 2: Depending on the reason for the injury and the patient’s response, post-trauma syndrome may be applicable. This is not the greatest priority.Rationale 3: The patient with an open, compound fracture has multiple bone breaks penetrating through the skin and must be assessed and cared for vigilantly for signs of infection.Rationale 4: The patient is at risk for a fall due to fracture, but this is not the highest priority. 3 Global Rationale: Cognitive Level: Analyzing Client Need: Physiological Integrity Client Need Sub: Physiological Adaptation Nursing/Integrated Concepts: Nursing Process: Diagnosis Learning Outcome: 50-4 Question 23 Type: MCMA
The nurse should assess a patient with a long leg cast for which signs that would indicate compromised circulation?Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply. Global Rationale: Cognitive Level: Analyzing Client Need: Physiological Integrity Client Need Sub: Physiological Adaptation Nursing/Integrated Concepts: Nursing Process: Assessment Learning Outcome: 50-4 Question 24Type: MCSAA patient is diagnosed with a sprained right ankle. The nurse instructs the patient on which common treatment of sprains?
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