A patient has these nursing diagnoses. Prioritize them, beginning with the highest priority
A. Social isolation
B. Spiritual distress
C. Self-care deficit syndrome
1 . C
2 . A
3 . B
Nursing diagnoses are prioritized according to Maslow. Self-care deficit syndrome reflects physiological function. Social isolation reflects love and belonging. Spiritual distress may reflect either self-concept or self-actualization.
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A nurse is caring for a patient who had a laminaria tent inserted 6 hours ago. What action by the nurse is most appropriate?
A. Assess and record maternal temperature. B. Document fetal and maternal heart rate. C. Perform an amniotic membrane stripping. D. Remove the laminaria tent and assess cervical dilation.
On initial diagnosis, the patient with stomach cancer will most likely have which findings?
A) Dysphagia and nausea B) Weight loss and abdominal pain C) Early satiety and occult bleeding D) A palpable right upper quadrant mass and severe pain
The health care provider has prescribed an initial rate of 6 mU/min of diluted Pitocin to be started to augment labor for a client having arrested labor
At which setting will the nurse set the infusion pump (in mL/hr) if the dilution of the Pitocin is 10 U of Pitocin in 1000 mL of 0.25 normal saline? Record your answer as a whole number. _______ mL/hr What will be an ideal response?
Emergency personnel are preparing to complete an on-the-scene rapid assessment of a victim of a motor vehicle crash. In which order should the victim's assessment be completed? Place the assessments in order of importance
1. assessment for obvious injuries 2. Champion Revised Trauma Scoring System 3. airway and breathing assessment 4. circulation assessment 5. level of consciousness and pupillary function