A college student is unable to take a final exam owing to severe test anxiety. Instead of studying, the student relieves stress by attending a movie. Which priority nursing diagnosis should a campus nurse assign for this client?
1. Non-adherence R/T test taking
2. Ineffective role performance R/T helplessness
3. Altered coping R/T anxiety
4. Powerlessness R/T fear
3
Rationale: The priority nursing diagnosis for this client is altered coping R/T anxiety. The nurse should assist in implementing interventions that will improve the client's healthy coping skills and reduce anxiety.
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Which woman will most likely seek prenatal care?
a. Janice, 15 years old, tells her friends, "I don't believe I am pregnant." b. Margaret, 20 years old, is in her first pregnancy and has access to a free prenatal clinic. c. Carol, 28 years old, is in her second pregnancy and abuses drugs and alcohol. d. Glenda, 30 years old, is in her fifth pregnancy and delivered her last infant at home with the help of her mother and sister.
The RN is conducting a staff in-service on standard precautions. Which of the following statements is correct and should be included in the presentation?
A) Cut the needle off a syringe after using it to give a client an injection. B) Gloves should not be worn for client care unless body fluids are seen. C) Dispose of blood-contaminated materials in a biohazard container. D) Wear a mask when in direct contact with all clients.
Objective physical data describe air moving through small airways over the lung's periphery. The expected inspiratory-to-expiratory phase of this normal vesicular breath sound is which of the following?
a. The inspiratory phase lasts exactly as long as the expiratory phase. b. The expiration phase is longer than the inspiration phase. c. The expiration phase is two times longer than the inspiration phase. d. The inspiratory phase is three times longer than the expiratory phase.
A 3-year-old child with sickle cell disease is admitted to the hospital in sickle cell crisis for sudden onset of severe abdominal pain. The nurse recognizes that the type of crisis the child is most likely experiencing is due to:
a. A thrombus from vascular occlusion b. An intense gastrointestinal infection c. Swelling of the liver d. Enlargement of the spleen