Answer to Question 1
4. Mother diagnosed with bipolar disorder
Rationale:
Bipolar disorders typically appear between the ages of 15 and 30. Risk factors include a family history of bipolar disorders, drug abuse, periods of very high stress, and a major life-altering event. Women and men are at equal risk of having bipolar disorders. A blood pressure of 120/80 mmHG does not put a client at risk for bipolar disorders. Being employed and working out regularly are not risk factors for bipolar disorders.
Answer to Question 2
2. Does not become lost or sustain injury during wanderings.
Rationale:
The client does not become lost or sustain injury during wanderings is the correct answer because it relates to the diagnosis and is measurable. The client maintains continence on four out of five voiding is an incorrect answer because it does not relate to the diagnosis. The client sleeps through the night and stays awake most of the day is an incorrect answer because it does not relate to the diagnosis. The client receives appropriate care consistent with his or her specific values and expected outcomes is an incorrect answer because expected outcomes are unknown and not measurable.
The nurse conducts the health history as the first step in the nursing assessment
The nurse applies a pulse oximeter sensor on the client’s finger.
Risk for injury
Risk of death from motorcycle accidents (dashed lines) and passenger accidents (solid lines) per 100
Vial Washing System - Risk Based Approach
Using small, circular strokes, exfoliate the client’s neck and back.