The nurse is caring for a patient diagnosed with pneumonia. The patient has a BP 160/94, P 102, R 28, crackles in posterior lower lobes bilaterally, oxygen saturation 89%, and complains of shortness of breath upon exertion
The highest priority nursing diagnosis for this patient is: a. Activity intolerance
b. Impaired gas exchange
c. Ineffective cardiopulmonary tissue perfu-sion
d. Self-care deficit: Bathing and hygiene
B
While all nursing diagnoses may apply to this patient, Impaired gas exchange is the highest priority because this is the underlying problem for the other nursing diagnoses, as well as physi-ologically the highest priority.
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A patient sustained a long laceration across the cheek. During a dressing change the patient says, "I just cannot look at the incision yet. I am pretty vain about my looks.". Which nursing diagnosis would the nurse prioritize?
1. Anxiety 2. Disturbed Body Image 3. Ineffective Individual Coping 4. Denial
A client is prescribed pyrantel pamoate. The recommended dosing for pyrantel pamoate is a maximum of 11 mg/kg/single dose. What is the safe dose for a client weighing 154 pounds?
a. 170 mg c. 770 mg b. 390 mg d. 994 mg
The nurse is caring for a child with juvenile rheumatoid arthritis (JRA). Which medication would the nurse most likely provide to manage the symptoms of this disorder?
A) Acetaminophen B) Morphine C) Aspirin D) Codeine
A nurse is planning to conduct a family assessment. Which of the following BEST describes the components that should be included in a family assessment?
a. thorough evaluation of areas where the family needs to improve b. detailed information about a family and its members' views of their own strengths and problems c. summary of potential areas of conflict between all family members d. identification of possible strategies to address family role relationships