Which of the following is the most effective way of prioritizing nursing diagnoses?
a. Ensuring that the diagnoses are reimbursable by third-party payers
b. Determining the degree of community concern about the problem
c. Comparing the diagnoses with the agency's mission statement
d. Discussing conclusions with another community/public health nurse
ANS: B
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Mrs. Brown has an intercerebral hematoma that is being managed medically. The nurse notes that Mrs. Brown is exhibiting ataxic breathing. The nurse should
A) realize that all patients with head injuries exhibit changes in respiratory patterns, so she should not be alarmed. B) notify the physician and make sure the equipment for intubation and ventilation is accessible. C) insert a nasopharyngeal airway to suction the patient. D) realize this is an indication of improved neurologic function.
A patient was recently admitted to the ICU with a knife wound to his chest that punctured his lung following a fight with his brother. He has undergone surgery and is stable, but is afraid of the possibility of infection
He will have to miss work for at least 6 weeks while he recovers. Which stressor will likely have the most long-term negative impact on this patient? A) His relationship with his brother B) The pain from his wound C) The financial hardship of missing 6 weeks of work D) Fear of infection
The school nurse is seeing a child who collected some poison ivy leaves during recess. He says only his hands touched it. What is the most appropriate nursing action?
a. Soak his hands in warm water. b. Apply Burow's solution compresses. c. Rinse his hands in cold running water. d. Scrub his hands thoroughly with antibacterial soap.
The condition when the brain fails to send a signal to the chest and diaphragm to keep breathing is known as:
a. obstructive sleep apnoea. b. central sleep apnoea. c. narcolepsy. d. a seizure.