Which goal has the highest priority in the plan of care for a 26-year-old homeless patient admitted with viral hepatitis who has severe anorexia and fatigue?
a. Increase activity level.
b. Maintain adequate nutrition.
c. Establish a stable environment.
d. Identify sources of hepatitis exposure.
b. Maintain adequate nutrition.
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A nurse assesses a client who has a nasal fracture. The client reports constant nasal drainage, a headache, and difficulty with vision. Which action should the nurse take next?
a. Collect the nasal drainage on a piece of filter paper. b. Encourage the client to blow his or her nose. c. Perform a test focused on a neurologic examination. d. Palpate the nose, face, and neck.
The nurse is caring for a patient who is receiving acetylcysteine (Mucomyst) by face mask. What would be an appropriate nursing diagnosis?
A) Impaired swallowing B) Risk for impaired skin integrity C) Risk for falls D) Sleep deprivation
Sydney presents to the clinic with vulvovaginal candidiasis. Appropriate treatment for her would be:
1. OTC intravaginal clotrimazole 2. OTC intravaginal miconazole 3. Oral fluconazole one-time dose 4. Any of the above
The nurse is encouraging a reluctant postoperative patient to deep breathe and cough. What explanation can the nurse provide that may encourage the patient to cough more effectively?
a. "If you don't deep breathe and cough, you will get pneumonia." b. "Deep breathing and coughing will clear out the anesthesia." c. "Coughing will not harm the incision if done correctly." d. "You will need to cough only a few times during this shift."