The nurse is prioritizing care of a pediatric patient diagnosed with cystic fibrosis. Which nursing diagnosis would the nurse consider the highest priority?
a. Risk for altered nutrition: less than body related to decreased appetite
b. Altered breathing pattern related to thickened mucus secretions
c. Knowledge deficit related to disease process
d. Impaired skin integrity related to decreased mobility
ANS: B
Altered breathing pattern would be the highest priority because the physiologic need of oxygenation is required for total body function. Risk for altered nutrition, knowledge deficit, and impaired skin integrity would not be of higher priority than oxygenation.
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Use of dry-heat treatment is contraindicated in clients who have:
a. diabetes mellitus c. hepatitis b. hypertension d. pancreatitis
The nurse reads an order to administer eye drops in the patient's right eye. Which of the following abbreviations refer to the right eye?
A) OU B) OS C) OD D) OTC
When providing anticipatory guidance to parents about lying during the preschool period, which of the following would the nurse emphasize?
A) "You need to determine the reason for lying before punishing the child." B) "Lying typically occurs because the child is afraid of being punished." C) "The misbehavior is usually more serious than the lying itself." D) "It is okay to become angry when dealing with the child's lying."
A politically active community health nurse assists in drafting state legislation for alcohol use laws. Which principles of the World Health Organization should be integrated into the draft legislation? (Select all that apply.)
A) Legislation should be guided and formulated by the interests of local business owners. B) Alcohol policies should be equitable for all in the state. C) Alcohol policies should be sensitive to cultural contexts. D) Legislation should protect those with substance use disorders from serving extended prison sentences. E) Legislation should protect those exposed to the harmful effects of drinking by others.