An enema could dislodge the placenta and increase bleeding. Physiological Adaptation

The definition of rape is sexual intercourse against someone’s will. It is a degrading, brutal crime of violence and can occur between any two persons regardless of their marital status. Psychosocial Integrity

The method of splinting is always dictated by the severity of the client’s condition and the priority decision.

Basic Care and Comfort

Alcoholism places a client at risk for developing cirrhosis. None of the other choices are related to cirrhosis. Physiological Adaptation

In addition to the rubber tips on the ends of the crutches, the client needs to know the appropriate gait. Arm strength exercises are important, and it is critical that the client be fitted properly for the crutches. Basic Care and Comfort

Due to her symptoms of fatigue, shortness of breath, lightheadedness, her gender, and her fad dieting, the cause is most likely iron deficiency. Physiological Adaptation

High levels of cortisol can produce sodium and fluid retention and potassium deficit, thus creating urinary deficit. Physiological Adaptation

All of the choices are functions of the kidneys except reabsorbing waste products. The kidneys excrete waste products. Physiological Adaptation

Gait is usually assessed as the client walks into the room. Normal gait is smooth, flowing, and rhythmic without assistive devices. Basic Care and Comfort

The nail beds and the tissue surrounding the nails should be assessed for abnormal discoloration, lesions, paronychia (infection of tissue surrounding the nail), tissue dryness, breaks in the skin, pressure areas, or other abnormal appearances. Basic Care and Comfort

Rifampin has the unusual effect of turning body fluids an orange color. Soft contact lenses might become

permanently stained. Clients should be taught about these side effects to avoid unnecessary concern. Safety and

Infection Control

The client has a right to know the parameters of the nurse-client relationship. If the relationship is to be time

limited, the client should be informed of the number of sessions. If it is open-ended, the termination date is not

known at the outset, and the client should know that this is an issue that is negotiated at a later date. Coordinated

Care

Testing that identifies clients without a disease is said to be specific, while testing that identifies clients with a

disease is said to be sensitive . Safety and Infection Control

The patient experiencing neurovascular changes should have the highest priority. Pain following a TKR is normal, and breakdown over the heels is a gradual process. Moreover, a subacute ankle sprain is almost never a medical emergency.

Data belonging in a general health history of the eye includes employment, activities, allergies, medications, lenses, and protective devices used. Exposure to irritants and activity risks should be delineated. Routine care of eyes and eye devices should be explored. Health Promotion and Maintenance