In which of the following clients has the order of priorities for nursing diagnoses changed? Select all that apply
A) A client in a long-term care facility who had a stroke
B) A client who is recovering from a broken leg
C) A client who insists on using the bathroom instead of a bedpan
D) A client who appears confused after taking pain medication
E) A pregnant client whose contractions are progressing as anticipated
Ans: A, C, D
The work of setting priorities demands careful critical thinking. When planning nursing care, the nurse should consider the following: Have changes in the client's health status influenced the priority of nursing diagnoses? Have changes in the way the client is responding to health and illness (or the plan of care) affected those nursing diagnoses that can be realistically addressed? Are there relationships among diagnoses that require that one be worked on before another can be resolved? Do several client problems need to be dealt with together.
You might also like to view...
A client is admitted to the emergency department with a body temperature of 103 °F. It is a hot and humid day, and the client works in a factory with no air conditioning. Which actions by the nurse are appropriate when providing care to this client?
Select all that apply. A) Use warm blankets. B) Restrict fluids. C) Apply cool washcloths to the face and neck. D) Assess vital signs. E) Remove or loosen clothing around the neck and chest.
143 x 224 = _____
What will be an ideal response?
What is the term for the pharmacological agents that kill mites?
1. Pediculicides 2. Psoralens 3. Scabicides 4. Antibiotics
A recently widowed older-adult patient is dehydrated and is admitted to the hospital for intravenous fluid replacement. During the evening shift, the patient becomes acutely confused
Which possible reversible causes will the nurse consider when assessing this patient? (Select all that apply.) a. Electrolyte imbalance b. Sensory deprivation c. Hypoglycemia d. Drug effects e. Dementia