Prioritize these nursing diagnoses for a patient with bulimia nervosa
A. Imbalanced nutrition: less than body requirements
B. Chronic low self-esteem
C. Loneliness
D. Risk for imbalanced fluid volume
1 . D
2 . A
3 . C
4 . B
Nursing diagnoses are prioritized using Maslow's pyramid. Physiological needs come first: fluid balance precedes nutritional balance as a priority. The next level of the pyramid is safety and security, but none of the diagnoses relate to that level. The next level is love and belonging, which is compromised by loneliness. The next level is self-esteem.
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When performing a physical examination, safety must be considered to protect the examiner and the patient against the spread of infection. Which of these statements describes the most appropriate action the nurse should take when performing
a physical examination? a. Washing one's hands after removing gloves is not necessary, as long as the gloves are still intact. b. Hands are washed before and after every physical patient encounter. c. Hands are washed before the examination of each body system to prevent the spread of bacteria from one part of the body to another. d. Gloves are worn throughout the entire examination to demonstrate to the patient concern regarding the spread of infectious diseases.
A college-age student is brought to the emergency department by friends after consuming NoDoz tablets along with several cups of coffee and a few energy drinks. The patient is complaining of nausea and diarrhea and appears restless
The nurse understands that a. arrhythmias and convulsions may occur. b. caffeine dependence does not occur. c. effects of the substances will wear off shortly. d. severe adverse effects do not occur.
A child exhibits a positive Chvostek sign. This indicates that the child is at risk for:
1. Hyperparathyroidism. 2. Hypoparathyroidism. 3. Hypopituitarism. 4. Hyperpituitarism.
A nurse is explaining the facility's open-ended form for documentation to a group of new nursing employees. Which of the following would the nurse give as the primary reason for using this form?
A) Prevents missed questions B) Combines assessment data with nursing diagnosis C) Individualizes information D) Meets needs of multiple data users