A client is experiencing problems with nutrition, sexuality, mobility, and fear. The nurse would assign the highest priority to which of the following nursing diagnoses?
1. Fear
2. Imbalanced nutrition: less than body requirements
3. Impaired physical mobility
4. Ineffective sexuality patterns
ANS: 2
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A father is concerned about how long his preschool-age child will continue sucking his thumb. What is the most helpful response from the nurse?
a. "Most children will stop thumb-sucking naturally by school age." b. "Over-the-counter treatments that give a bad taste can be placed on the thumb to discourage the practice." c. "Consistently touching the child's fingers whenever he sucks his thumb is most effective." d. "Thumb-sucking is detrimental to the eruption of the child's teeth and must be stopped as soon as possible."
You are caring for a patient at risk of shock. What physiologic response would you know to look for while assessing for shock?
A) Activation of infectious response B) Increased blood pressure C) Hypoperfusion of tissues D) Temperature
When planning care for a patient with heart failure, the nurse keeps in mind that this condition may lead to:
A) prerenal AKI. B) intrinsic AKI. C) postrenal AKI. D) glomerulonephritis.
During a blood pressure screening an elderly male tells the nurse he experiences a fluttering in his chest while doing yard work. He reports no other symptoms, and the frequency is intermittent
The nurse would interpret this finding to be consistent with: 1. Underlying illness that requires a medical evaluation. 2. Nonspecific cardiac changes with aging. 3. Hypothyroidism. 4. Exercise intolerance.