A patient is diagnosed with pulmonary arterial hypertension. Which nursing diagnosis would have the highest priority to add to the plan of care?
1. Risk for decreased cardiac output
2. Risk for impaired role performance
3. Risk for a disturbed sleep pattern
4. Risk for disturbed sensory perception
Correct Answer: 1
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Parents of a 6-year-old boy should be asked if he has:
a. erections. b. nocturnal emissions. c. rapid detumescence. d. scrotal swelling.
You screen a school-aged boy for hearing and discover he has a hearing loss of 60 dB. This means he would have difficulty hearing
A) very loud noises only. B) normal conversation and above. C) whispering only. D) all noise.
The nurse plans to assist in the transfer of the client to a bedside commode. Place the procedure steps in the correct order.A) Place slippers on the client.B) Place commode at the foot of the bed.C) Raise the client's head of the bed and move client to the edge of the bed.D) Safely transfer the client to the commode.E) Cover client with bath blanket as needed for warmth.
Fill in the blank(s) with the appropriate word(s).
The nurse is teaching the parents of a 4-year-old boy about the normal maturation of the child's organs during the preschool years and their effect on body functions. Which statements accurately describe these changes? Select all that apply
A) Myelination of the spinal cord allows for bowel and bladder control to be complete in most children by age 3 years. B) The respiratory structures are continuing to grow in size, and the number of alveoli continues to increase, reaching the adult number at about 7 years of age. C) Heart rate increases and blood pressure decreases slightly during the preschool years; an innocent heart murmur may be heard upon auscultation. D) The bones continue to increase in length and the muscles continue to strengthen and mature; however, the musculoskeletal system is still not fully mature. E) The small intestine is continuing to grow in length, and stool passage usually occurs once or twice per day in the average preschooler. F) The urethra remains long in both boys and girls, making them more susceptible to urinary tract infections than adults.