The nurse is planning care for a preterm newborn. Which nursing diagnosis has the highest priority?
1. Tissue Integrity, Impaired
2. Infection, Risk for
3. Gas Exchange, Impaired
4. Family Processes, Dysfunctional
3
Explanation: 3. Gas Exchange, Impaired is related to immature pulmonary vasculature and inadequate surfactant production and has the highest priority.
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A 10-year-old is brought to the clinic for assessment. During the interview, the nurse learns that the child has been the victim of domestic violence
Which of the following messages would the nurse expect to hear in the assessment of the child due to the child's experience of abuse? Standard Text: Select all that apply. 1. It is appropriate to love the people you hit. 2. Violence does not resolve conflict. 3. If you are small and weak, you deserve to be hit. 4. Violence is appropriate if the end result is good. 5. People who love you don't hit you.
The nurse is caring for a 69-year-old patient with a history of osteoarthritis (OA) who has just been admitted to the medical unit. The patient asks the nurse what the difference is between OA and rheumatoid arthritis (RA)
What is the best response by the nurse? A) "OA is considered a noninflammatory joint disease. RA is characterized by inflamed, swollen joints." B) " OA and RA are very similar. OA affects the smaller joints, and RA affects the larger, weight-bearing joints." C) "OA affects joints on both sides of the body. RA is usually unilateral." D) "OA is more common in women. RA is more common in men."
A patient with chronic diarrhea has been advised by the healthcare provider to avoid foods containing sorbitol and mannitol. What should the nurse instruct the patient to avoid consuming for this health problem?
Select all that apply. 1. mints 2. honey 3. pear juice 4. apple juice 5. orange juice
A 57-year-old woman reports to the nurse that she has an area on her breast that looks dimpled and "like orange peel." What would this indicate to the nurse?
A) Early cancer B) Fibroadenoma C) Fibrocystic disease D) Blocked lymph drainage