A client is to have a nephrostomy. A concern the nurse might ...

[wrbasek0]

A client is to have a nephrostomy. A concern the nurse might anticipate relates to the client's
 
  a. reproductive ability.
  b. ability to think rationally.
  c. body image.
  d. friends.

Question 2

A client hospitalized after a myocardial infarction is restlessly moving about in bed. Her pulse,
  blood pressure, and respiratory rate are elevated. In a shaky voice, she tells the nurse I think I am
  going to die.
 
  The pain is gone, but it could come back anytime. Where is the doctor? Why isn't the
  doctor here with me? The nurse should analyze this behavior as suggesting the nursing diagnosis of
  a. spiritual distress.
  b. ineffective breathing pattern.
  c. noncompliance.
  d. anxiety.

[Yixagurpuldink]

Answer to Question 1

C
A nephrostomy, like a colostomy, has serious implications for body image. Options A and D:
Concerns with reproductive ability and acceptance by friends are less certain to occur than body
image changes. Option B: The ability to think rationally should not be affected.

Answer to Question 2

D
The clinical picture is typical of anxiety. The client is experiencing uneasy feelings arising from a
nonspecific source. Anxiety typically produces elevated vital signs. Data are not present for the
other nursing diagnoses.