What is the priority nursing diagnosis for the client in thyroid crisis (storm)?
A. Potential for Ineffective Breathing Pattern
B. Risk for Imbalanced Body Temperature
C. Risk for Decreased Cardiac Output
D. Activity Intolerance
A
Thyroid crisis is a life-threatening emergency that has a 25% mortality rate, even with interven-tion. Maintaining a patent airway and providing adequate ventilation are the primary concerns for clients in thyroid crisis.
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Which action by the nurse shows fiscal responsibility to the employing organization? (Select all that apply.)
a. Wash hands after each patient contact. b. Turn patients every 2 hours. c. Round on patients. d. Toilet patients frequently to prevent falls. e. Use resources of the institution wisely.
A client is receiving a continuous intravenous infusion. What should the nurse document in the medical record about this infusion?
1. Latest body temperature 2. Type of solution and flow rate 3. Total intravenous intake for the shift 4. Status of the intravenous catheter site 5. Results of blood pressure measurement
A nurse manager has begun working in an organization with decentralized decision making. Decentralized decision making allows the nurse manager to:
a. Make decisions effectively b. Make long-range plans c. Develop organizational goals d. Initiate policy development
Which of the following types of hepatitis would likely be found where sanitation is inadequate?
a. A b. B c. C d. D