Using Maslow's Hierarchy of Needs, rank the following nursing diagnoses in order of importance, beginning with the highest-priority diagnosis. (Enter using the following format: 1, 2, 3, 4)
1) Anxiety
2) Risk for infection
3) Disturbed body image
4) Sleep deprivation
ANS:
4, 2, 1, 3
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A client experiences impaired swallowing after a stroke and has worked with speech-language pathology on eating. What nursing assessment best indicates that a priority goal for this problem has been met?
a. Chooses preferred items from the menu b. Eats 75% to 100% of all meals and snacks c. Has clear lung sounds on auscultation d. Gains 2 pounds after 1 week
The nurse is prescribed to infuse 75 ml/kg of dialysate for a child's peritoneal dialysis treatment. The child weighs 77 lb. At the conclusion of the treatment, the nurse measures 3,000 ml of dialysate outflow
How much of the outflow should the nurse document as peritoneal fluid?
The nurse is preparing to administer the first dose of intravenous ceftriaxone (Rocephin) to a patient
When reviewing the patient's chart, the nurse notes that the patient previously experienced a rash when taking amoxicillin. What is the nurse's next action? a. Administer the drug and observe closely for hypersensitivity reactions. b. Ask the provider whether a cephalosporin from a different generation may be used. c. Contact the provider to report drug hypersensitivity. d. Notify the provider and suggest an oral cephalosporin.
The nurse is performing a health screening for a child from a mixed-status family. Which should be the nurse's most immediate concern?
A. Homelessness. B. Deficient healthcare. C. Lack of transportation. D. Inadequate education.