The nurse is planning care for a client receiving an antiretroviral agent. Which nursing diagnosis is the priority?
1. Fear
2. Risk for infection
3. Self-care deficit
4. Deficient knowledge
Correct Answer: 2
Rationale 1: While all of these diagnoses might be appropriate for this client, risk for infection is the priority need.
Rationale 2: The nurse should set the physiological needs as the priority. While all of these diagnoses might be appropriate for this client, risk for infection is the priority need.
Rationale 3: While all of these diagnoses might be appropriate for this client, risk for infection is the priority need.
Rationale 4: While all of these diagnoses might be appropriate for this client, risk for infection is the priority need.
Global Rationale: The nurse should set the physiological needs as the priority. While all of these diagnoses might be appropriate for this client, risk for infection is the priority need.
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A community health nurse is using the goals of the Healthy People 2020 to focus care. Which goal is the priority?
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A patient has undergone a bipolar hip repair (hemiarthroplasty). Which is the most appropriate instruction?
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Which of the following data is important for a nurse to obtain when a client with alcohol dependence admits consuming alcohol during the assessment?
A) Type of drink consumed B) Quantity of drink consumed C) When the last drink was consumed D) Any withdrawal symptoms experienced
The parent of a 3-year-old child voices concerns about the child's potential developmental delays. The parent reports an older child reached milestones significantly ahead of the younger child
An assessment reveals the child is able to assist with dressing and can play catch. Which of the following responses by the nurse is appropriate? 1. "Your child appears to be on target with the expected milestones for age." 2. "Your older child may simply be smarter than your 3 year old." 3. "I would recommend extensive testing to determine the source of the delays." 4. "Have you spoken with the health care provider about these delays?"