You have a client admitted to the unit having suffered a cerebral vascular accident. You are planning the plan of care for the client. What nursing diagnosis would be included in the client's plan of care? Select all that apply.

Pain.

Incontinence.

Impaired verbal communication.

Impaired swallowing.

Self-care deficit.

Answer and Explanation

Correct Answer : B,C,D,E

"Impaired verbal communication," "Impaired swallowing," and "Self-care deficit." These are all potential nursing diagnoses for a client who has suffered a cerebral vascular accident. Pain may not be a priority nursing diagnosis in this situation.

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Correct Answer is B

Explanation

Enuresis. Enuresis is the involuntary discharge of urine after the age at which bladder control should have been established. It is a normal finding for children up to the age of 5 years. Hematuria, Anuria, and Dysuria are abnormal findings related to the urinary system and are not normal findings for a 3-year-old.

Choice A, Hematuria, is incorrect because it is an abnormal finding related to the urinary system.

Choice C, Anuria, is incorrect because it is an abnormal finding related to the urinary system.

Choice D, Dysuria, is incorrect because it is an abnormal finding related to the urinary system.

A. Impaired Mobility. B. Impaired Gas Exchange. C. Self-Care Deficit. D. Diarrhea.

Correct Answer is D

Explanation

Diarrhea. A client who is recovering from bariatric surgery and is eating from a portable commode is at risk for diarrhea. Diarrhea can cause fluid and electrolyte imbalances, leading to dehydration, which can be life-threatening, especially in the immediate postoperative period.

Option A, impaired mobility, would not be a priority concern in the immediate postoperative period for this client.

Option B, impaired gas exchange, is not related to the situation.

Option C, self-care deficit, maybe a concern but is not as significant as diarrhea in the immediate postoperative period.

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You have a client admitted to the unit having suffered a cerebral vascular accident. You are planning the plan of care for the client. What nursing diagnosis would be included in the client's plan of care? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is instructing a 3-year-old's mother regarding abnormal findings within the urinary system. Which assessment finding would the nurse document as normal finding for this age group?

Correct Answer is B

Explanation

A client, who is recovering from bariatric surgery, is eating from a po [portable commode]. Nursing assessment is of greatest concern in the immediate postoperative period for which of the following?

Correct Answer is D

Explanation

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