The nurse identifies four nursing diagnosis for a client exposed to toxin. Which nursing diagnosis would be prioritized last?
A) Impaired Skin Integrity
B) Ineffective Coping
C) Fluid Volume Deficit
D) Risk for Contamination
D
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When prioritizing nursing diagnosis, the nurse would place an actual diagnosis ahead of a "risk for" diagnosis. When identifying a "risk for" diagnosis, the nurse is identifying a potential problem which needs assessment to prevent or identify early the diagnosis.
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The nurse spends several sessions with a patient with paranoid schizophrenia and the patient's family to help them understand the importance of antipsychotic medication in controlling his illness
The patient repeatedly states he isn't sick and the pills make him stiff, and family members say he doesn't think the medication helps him. They indicate that their efforts to promote adherence only lead to a hostile response from the patient. Which options should the nurse discuss with the patient's prescribing provider? Select all that apply. a. Using a long-acting injectable antipsychotic medication b. Adding medications to reduce the patient's side effects c. Adding a benzodiazepine such as diazepam (Valium) d. Tying medication use to meeting the patient's own goals e. Increasing discussion and problem solving regarding side effects f. Telling the patient he will get sick without the medicine
Based on Maslow's hierarchy of needs, when prioritizing a patient's plan of care, what would be the nurse's first priority?
A) Allowing the family to see a newly admitted patient B) Ambulating the patient in the hallway C) Administering pain medication D) Teaching the patient to self-administer insulin
The client tells the nurse that she does not wish to see her mother-in-law during this hospitalization because she does not like her. When the client's husband and her mother-in-law visit, the client is very cordial and acts happy to see both visitors
The nurse recognizes that this client may be using which defense mechanism? 1. Reaction formation 2. Rationalization 3. Regression 4. Reparation
A female client visiting a woman's clinic tells the nurse that she can feel contractions in her vagina and that they prevent her husband's penis from entering her. What form of female sexual dysfunction would the nurse suspect?
A) Dyspareunia B) Hormonal imbalances C) Vaginismus D) Infertility