The most appropriate nursing diagnosis for a client who has a lot of phlegm with a hacking cough and wheezes throughout the lung fields would be:
1. ineffective airway clearance. 3. impaired gas exchange.
2. ineffective breathing pattern. 4. obstructive airway disease.
ANS: 1
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A patient is being cared for after suffering a traumatic brain injury in a motorcycle accident
Since the patient has regained consciousness, the nurse has been prioritizing assessments related to the possibility of increased intracranial pressure (ICP). Assessment for early signs of increased ICP should focus most closely on which of the following parameters? A) Muscle tone B) Level of consciousness (LOC) C) Vital signs D) Pain level
The nurse is teaching a workshop on family disaster prevention. In the section on preparing families for what they might experience in the initial stages of a disaster, the nurse includes the information that the family will likely exhibit:
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An adult male is admitted to the inpatient detoxification unit for acute alcohol withdrawal and is experiencing diaphoresis, tachycardia, and illusions. An appropriate nursing diagnosis for the client at this time is what?
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Which are considered behavioral modifications that support weight loss by slowing down one's rate of consumption? Select all that apply.
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