The nursing team prioritizing the nursing diagnoses of an overweight hospital patient will select as the highest priority the nursing diagnosis of:

a. Risk for dehydration related to vomiting.
b. Activity intolerance related to shortness of breath.
c. Knowledge deficit related to weight re-duction diet.
d. Altered self-image related to excessive weight.


B
Activity intolerance is the highest priority as it has to do with activities that are essential to life. The second is Knowledge deficit related to weight reduction diet, followed by Altered self-image related to excessive weight, and the last is Risk for dehydration related to vomiting.

Nursing

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When caring for a patient with altered level of consciousness the nurse is preparing to test cranial nerve VII. What assessment technique would the nurse use to elicit a response from cranial nerve VII?

A) Palpate trapezius muscle while patient shrugs should against resistance. B) Administer the whisper or watch-tick test. C) Observe for symmetry of facial movements, such as a smile. D) Note any hoarseness in the patient's voice.

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Prior to bringing a patient into the operating room, the nurse examines an instrument that will be used for the surgical procedure. What is the rationale for this action?

1. To ensure the correct instrument is reflected in the charges to be made to the patient's insurance for the surgical procedure 2. To allow the nurse to efficiently use the instrument as required 3. To ensure the patient's safety when the instrument is used for the procedure 4. To determine if the instrument should be replaced with one that is disposable after use

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Which action would a nurse manager most likely take when evaluating the performance of an organization?

a. Examine best practices for organizational evaluation. b. Analyze how the core functions of public health have been implemented. c. Develop a standardized nursing language to be used within the organization. d. Review the standards held by accrediting bodies and the guidelines for practice.

Nursing

Clocks and calendars are of no value in reality orientation.

Answer the following statement true (T) or false (F)

Nursing