The nurse is caring for a newborn male client recovering from a ...

[chads108]

The nurse is caring for a newborn male client recovering from a circumcision. Which of the following nursing diagnoses would be appropriate for the client after the procedure?
 
  1. Risk for Injury
   2. Risk for Infection
   3. Risk for Ineffective Breathing Pattern
   4. Risk for Imbalanced Nutrition

Question 2

The nurse manager in a health care agency reminds the staff of which intervention to prevent falls?
 
  1. Display the phone number to the nurses' station.
   2. Keep electrical cords under the bed.
   3. Keep the environment tidy.
   4. Read label directions.

[deja]

Answer to Question 1

2. Risk for Infection

Rationale:
The client is at increased risk for infection because of the circumcision. Risk for injury would be appropriate if the client were having difficulty metabolizing bilirubin. Risk for ineffective breathing pattern would be appropriate if the client were demonstrating signs of ineffective breathing. Risk for imbalanced nutrition would be appropriate if the client were demonstrating signs of ineffective feeding behaviors.

Answer to Question 2

3. Keep the environment tidy.

Rationale:
Keeping the environment tidy and free of clutter will go a long way in preventing falls. The call system to the nurses' station is a direct line for help; a number has to be displayed or dialed. Electrical cords should be used only if necessary, and the maintenance department can help if any of them present a hazard. Reading label directions will prevent the wrong use of substances given to the client but would not directly prevent falls.

[chads108]

Excellent

[FergA]

TYSM