What is the priority nursing diagnosis for a client admitted with a medical diagnosis of acute myocardial infarction?

A. Potential for Heart Failure
B. Potential for Dysrhythmia
C. Altered Tissue Perfusion
D. Acute Pain


D
For most people, intense pain is the factor that causes them to seek medical assistance. Pain should be managed as quickly as possible, even to the point of delaying the gathering of some assessment data.

Nursing

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During an episode of binge eating, what type of food is usually taken in large amounts?

a. Fruits b. Red meat c. Fried or high fat content foods d. Cakes, donuts, or sweets

Nursing

The nurse performs vision and hearing screening at the school to identify students who may need referrals for further testing. A responsibility of the nurse in screening is to:

1. Monitor that students who need glasses wear them. 2. Send letters home to parents reminding the students to wear the glasses. 3. Follow up on referrals made to determine outcomes for those students with vision or hearing problems. 4. Ask the teachers if they are aware of any other problems with students in the classroom.

Nursing

A client with an inner ear infection is in the hospital. What should the nurse plan as a priority for this client?

1. Nutritional screening 2. Safety measures 3. Isolation precautions 4. Having the client shower

Nursing

A client has been receiving cephalexin 500 mg twice a day for 14 days. The nurse understands that this client may have an increased need for vitamin:

a. C. c. E. b. D. d. K.

Nursing