After completing an admission assessment on a patient who recently suffered a stroke, the nurse should choose which of the following nursing diagnoses as a priority?
a. Risk for inury c. Altered cerebral perfusion
b. Altered thought process d. Decreased mobility
C
Altered cerebral perfusion is the priority diagnosis. Altered cerebral perfusion may be caused by an interruption in blood flow such as occlusive disorder, hemorrhage, cerebral vasospasm, or ce-rebral edema. It is important for the nurse to monitor cognitive status and vitals for patients ex-periencing altered cerebral perfusion. The patient is at risk for injury due to the effects of the stroke, however it is not the priority diagnosis. This patient may suffer from altered thought processes due to cerebral damage from the stroke; however, this is not the priority diagnosis. This patient may experience a decrease in mobility such as hemiparesis; however, it is not the priority diagnosis.
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The nurse caring for a Navajo client notes a lack of verbal communication when attempting to interact with the client. Which inference can be made about this behavior?
1. The client likely does not understand the nurse's attempts to engage her. 2. The client is demonstrating disapproval with the nurse through the use of silence. 3. The client is uneasy speaking with the nurse without the male head of her household. 4. The client is illustrating agreement with the nurse's actions by using silence.
7 Tbsp = _____ tsp
a. 21 b. 14 c. 2 1/3 d. 3 1/2
A client scheduled for a colonoscopy should be instructed regarding the need for:
1. serum blood specimens. 2. a bowel preparation. 3. pain medications prior to the test. 4. eating a full meal prior to the test.
Although a particular congregation's need was obvious, there simply wasn't enough money to support a parish nurse position
Which of the following community groups would have most likely had a need and funds available to contribute to a shared parish nurse position? a. Childcare center b. Community elementary school c. Community high school d. Elderly housing complex