A client, who has sustained burns to the anterior chest and upper extremities, is brought to the burn center. During the initial stage of assessment, which nursing diagnosis is primary?
A) Risk for Impaired Gas Exchange
B) Acute Pain
C) Risk for Infection
D) Alteration in Tissue Perfusion
A
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During the initial assessment of a burn victim, the nurse must look for evidence of inhalation injury. Once oxygen saturation and respirations are determined, pain intensity is evaluated. The assessment of damage to the tissues and prevention of infection are secondary to airway issues.
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The nurse caring for an African American patient knows this patient is at higher risk for hypertension and teaches the patient how to eat healthy to reduce this risk. This is an example of the nurse's awareness of this patient's what?
1. Culture 2. Ethnicity 3. Race 4. Dietary habits
A nurse manager has conducted a study to look at the relationship between the amount of time staff nurses on a unit spend in patient rooms and the number of times the patients on that unit use their call lights
The manager reports the results of the data analysis as r = -1.02. How should these results be interpreted? 1. There is a strong positive relationship between the variables. 2. There is a strong negative relationship between the variables. 3. There is no relationship between the variables. 4. This is an improbable value and a mathematical error is possible.
An older client has been overusing alcohol for 25 years. Which nutrients should the nurse recommend that this client increase ingesting?
a. Vitamin D b. Potassium and iron c. Potassium and calcium d. Thiamine and folic acid
In adults over age 80, the greatest dietary concern is
a. preventing weight gain. b. increasing lean body mass. c. maintaining adequate nutritional status. d. preventing coronary heart disease and cancer.