The nurse is assisting the graduate nurse in completing a plan of care for a newly admitted client. The client has a history of congestive heart failure and was admitted with shortness of breath
Upon admission the client stated that she did not have enough money to purchase her medications. Which of the following nursing diagnoses will be of the greatest initial importance when planning care?
A) Activity intolerance related to shortness of breath
B) Fatigue related to shortness of breath
C) Ineffective management of therapeutic regime related to inability to purchase medications
D) Fluid volume overload related to shortness of breath
D
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The school nurse is preparing an educational session for adolescents to address the 2020 National Health Goals for healthy habits. What should the nurse include in this presentation? (Select all that apply.)
A) Abstaining from alcohol B) Avoidance of tobacco products C) Maintaining a healthy body weight D) Attending college preparation programs E) Refusing to participate in substance abuse
A patient has been admitted for observation following an automobile accident. The nurse suspects that the patient's condition may be deteriorating because
1. The patient was previously lethargic and is now alert. 2. The blood pressure and pulse have not changed. 3. The patient still cannot remember the events before the accident. 4. The patient was oriented to person, place, time, and situation 1 hour ago and is now oriented to person and place only.
The nurse cares for a client who is sedated, intubated, mechanically ventilated, and has a central line. While repositioning the client, the central line is disrupted. Place the steps in correct order in response to the clinical scenario.A) Place the client in supine position.B) Clamp the affected lumen with a soft-tipped clamp.C) Place a strip of tape over the catheter.D) Notify the health care provider.
Fill in the blank(s) with the appropriate word(s).
Explain the blood flow of the testes and describe why it is important.
What will be an ideal response?