Ineffective health maintenance.
Ineffective health maintenance.
10. The nurse care for the 4 year old child. The parents report the child is irritable and has lost weight. The nurse assesses the child and discovers an irregular heart rate at 18- beats per minute and rest at 24 per min. Which does the nurse do first?
- Assesses the Childs temperature
- Notifies the health care provider
- Tells the parent the child has a heart disorder
- Asks the child if there is any chest pain
11. The nurse care for a client with as kin rash. The client scratches the rash and the skin starts to bleed. The nurse includes which nursing diagnosis in the clients plan of care?
- Ineffective health maintenance.
- Impaired skin integrity
- Impaired tissue integrity
- Risk for bleeding
