A licensed practical nurse (LPN) has formulated four nursing diagnoses for her patient. The priority nursing diagnosis would be
1. Altered nutrition.
2. Risk for infection.
3. Chronic low self-esteem.
4. Ineffective airway clearance.
ANS: 4
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An x-ray of a trauma patient reveals rib fractures and the patient is diagnosed with a small flail chest injury. Which intervention should the nurse include in the patient's plan of care?
A) Suction the patient's airway secretions. B) Immobilize the ribs with an abdominal binder. C) Prepare the patient for surgery. D) Immediately sedate and intubate the patient.
Treatment of the client who had a fat embolism from a fracture consists of bed rest, oxygen, and:
a. traction b. intravenous (IV) fluids c. surgery d. passive exercises of all nonaffected joints
During venipuncture, the nurse needs to make sure the needle is inserted with the bevel pointing in which direction?
a. bevel down c. bevel left b. bevel up d. bevel right
Which of the following actions could you initiate to reduce the discomfort of a woman in labor whose fetus is in an occiput posterior position?
A) Urge her to maintain a prone position. B) Place her in a Trendelenburg position. C) Apply ice packs to her lower back. D) Massage her lower back.