Which nursing diagnosis would be considered the priority for a client with oral cancer?
A. Ineffective Airway Clearance
B. Impaired Oral Mucous Membranes
C. Disturbed Body Image
D. Acute Pain
A
The priority nursing diagnosis for a client with oral cancer is Ineffective Airway Clearance. Air-way obstruction can result from the presence of a tumor, edema, or secretions and could be life threatening.
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The husband of a laboring woman asks the nurse how he can help his wife throughout the first stage of labor. The nurse informs him that, in addition to all that he's doing now, he could tell her when the contraction(s):
a. are 2 minutes apart. b. is at its acme. c. is at its increment. d. is at its decrement.
A client has an order for a narcotic analgesic every three to four hours and he received his last dose three hours earlier
Which of the following actions is most appropriate for the nurse to take in response to the client's request for pain medication on his first postoperative day? A) Provide the client with pain medication B) Tell the client that the pain cannot be severe C) Document and ask the client to wait one hour D) Contact the physician for a change in medication
A patient comes to a healthcare provider concerned about a family history of diabetes. The provider addresses the patient's concerns and suggests interventions to diminish the patient's chances of developing the disease. What is this action considered?
1. Perceived benefits 2. Demographic variables 3. Perceived seriousness 4. Sociopsychological variables
The nurse is assisting with discharge of a patient with Addison's disease following an adrenal crisis. Which instruction is most important for the nurse to reinforce?
a. The need for a well-balanced diet b. How to monitor blood glucose levels c. The importance of 30 minutes of exercise each day d. The importance of taking steroid replacements as prescribed ____