A home health client with end-stage renal disease (ESRD) has a nursing diagnosis of powerlessness related to life-altering disease. Which priority nursing intervention should the nurse include in the plan of care?
Select one:

Include the client during development of the plan of care.

Write out a detailed schedule of upcoming health care provider's appointments.

Ensure restricted protein intake to prevent nitrogenous product accumulation.

Increase daily intake of sodium.

Answer and Explanation

The Correct Answer is A

A. This is the priority intervention to address powerlessness. Involving the client in planning promotes autonomy, empowerment, and a sense of control over their own care — which directly counters feelings of powerlessness associated with chronic, life-altering illness like ESRD.

B. While helpful for organization and adherence, this is not priority in addressing emotional or psychological issues like powerlessness. It is more of a supportive or logistical intervention.

C. This is a clinical management issue related to renal diet, not a direct intervention for powerlessness.

D. clients with ESRD typically require sodium restriction, not an increase, to manage fluid retention and hypertension.

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Correct Answer is A

Explanation

A. Clients with allergies to bananas, kiwifruit, avocados, and chestnuts are at higher risk for latex allergies due to cross-reactivity. Latex is commonly used in surgical gloves and equipment. Immediate notification of the surgery center allows them to use latex-free supplies and equipment, which is critical for preventing a life-threatening anaphylactic reaction.

B. While food allergies are important, they are not the priority in this surgical context. Preventing exposure to latex during surgery is more urgent and potentially life-saving.

C. This is not the priority action. While antihistamines may help manage minor allergies, latex exposure can cause anaphylaxis, which antihistamines cannot prevent.

D. Reassurance is important, but the critical action is to ensure the surgical team is aware and prepared, not just documentation.

A. decreased blood supply to the tissues related to Atherosclerosis. B. chronic neurologic and vascular changes allow organisms to enter the tissues. C. increased function of leukocytes and phagocyte function. D. poor control of diabetes. E. diabetic patients are overweight and have poor hygiene.

Correct Answer is ["A","B","D"]

Explanation

A. Atherosclerosis reduces blood flow, limiting the delivery of oxygen and immune cells to tissues, impairing healing and increasing infection risk.

B. Diabetic neuropathy and poor circulation lead to unnoticed injuries and poor wound healing, which create a pathway for pathogens to invade.

C. Diabetes impairs leukocyte (WBC) and phagocyte function, reducing the body’s ability to fight infection.

D. Persistent hyperglycemia impairs immune response and promotes bacterial growth, making infections more likely and severe.

E. This is a generalization and not a universal or medically valid reason for increased infection risk. The physiological complications of diabetes (like poor circulation and immune dysfunction) are the main contributors.

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A home health client with end-stage renal disease (ESRD) has a nursing diagnosis of powerlessness related to life-altering disease. Which priority nursing intervention should the nurse include in the plan of care? Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is scheduled for surgery in a week tells the nurse doing the preoperative assessment about an allergy to bananas, kiwifruit, and latex products. Which action is most important for the nurse to take? Select one:

Correct Answer is A

Explanation

Which factors make diabetic patients prone to infection? (SATA) Select one or more:

Correct Answer is ["A","B","D"]

Explanation

A nurse is collecting data from a client who has diabetes and is overweight. The client tells the nurse that she wants to start an exercise program. Which of the following actions should the nurse take first?

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A patient is receiving total parenteral nutrition and has been NPO postoperatively. The physician ordered small amounts of clear liquids today. The nurse's priority is to ensure which criterion is addressed before giving the patient anything by mouth? Select one:

A home health client with end-stage renal disease (ESRD) has a nursing diagnosis of powerlessness related to life-altering disease. Which priority nursing intervention should the nurse include in the plan of care?
Select one: