單項選擇題
The client has a high-priority nursing diagnosis of Risk for Impaired Skin Integrity relat
ed to the need for several weeks of imposed bed rest. The nurse evaluates the client after 1 week and finds the skin integrity is not impaired. When the care plan is reviewed, the nurse should perform which of the following？A．Delete the diagnosis since the problem has not occurreDB．Keep the diagnosis since the risk factors are still present．C．Modify the nursing diagnosis to Impaired Mobility．D．Demote the nursing diagnosis to a lower priority．
The client has a high-priority nursing diagnosis of Risk for Impaired Skin Integrity relat
ed to the need for several weeks of imposed bed rest. The nurse evaluates the client after 1 week and finds the skin integrity is not impaired. When the care plan is reviewed, the nurse should perform which of the following？A．Delete the diagnosis since the problem has not occurreDB．Keep the diagnosis since the risk factors are still present．C．Modify the nursing diagnosis to Impaired Mobility．D．Demote the nursing diagnosis to a lower priority．
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單項選擇題
The nurse is caring for a client in labor who is receiving oxytocin by intravenous infusio
The nurse is caring for a client in labor who is receiving oxytocin by intravenous infusio
n to stimulate uterine contractions. Which assessment finding should indicate to the nurse that the infusion needs to be discontinued？A．IncreasedurinaryoutputB．Afetalheartrateof90beats/minuteC．3contractionsoccurringwithina10-minuteperioD．Adequaterestingtoneoftheuteruspalpatedbetweencontractions