A patient has been admitted to the critical care unit from the subacute medical unit because his signs and symptoms of liver failure have become more pronounced over the past 24 hours
The critical care nurse who is planning this patient's care should prioritize which of the following nursing diagnoses?
A) Risk for bleeding related to complications of liver failure
B) Knowledge deficit related to the causes of liver failure
C) Bowel incontinence related to treatments for liver failure
D) Risk for impaired gas exchange related to complications of liver failure
A
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A patient has had a sudden loss of vision after head trauma. How should the nurse best describe the placement of items on the dinner tray?
A) Explain the location of items using clock cues. B) Explain that each of the items on the tray is clearly separated. C) Describe the location of items from the bottom of the plate to the top. D) Ask the patient to describe the location of items before confirming their location.
While evaluating the outcomes of care for a client, the nurse determines that a goal for a client has been met. Which of the following should the nurse do?
a. Reassess the situation. b. Modify the plan of care. c. Determine to either cease nursing activities or continue to maintain the outcome. d. Suggest the client be discharged.
Mr. Jones is a 45-year-old patient who presents to the office. A person's definition of illness is likely to be most influenced by:
a. race. b. socioeconomic class. c. enculturation. d. age group.
In which situation may the nurse legally use restraints?
a. The patient states he wants to get out of bed, but the doctor has ordered bed rest. b. The patient keeps asking for help to go to the bathroom and the nurse is very busy. c. The newly admitted patient is confused as to the location of his bathroom. d. The patient who is critically ill becomes violent and is removing IV lines and medical monitoring devices.