A patient admitted in a semistuporous catatonic state has neither left the apartment nor attended to personal hygiene for several weeks. The patient's last 48 hours have been spent lying in bed, mute and motionless
The priority nursing diagnosis is: a. self-care deficit.
b. situational low self-esteem.
c. disturbed thought processes.
d. impaired verbal communication.
A
The patient evidences self-care deficit in the areas of bathing/hygiene, dressing/grooming, feeding, and toileting. These deficits pose the greatest risk to the patient and are therefore the priority.
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. A woman who presents with dimpling of the right breast states that it occurred in the last two weeks. She has not performed a breast self-examination. What assessment should the nurse make?
A) Evaluate the patient's milk production B) Palpate the area for a breast mass C) Order an immediate mammogram D) Call the physician to schedule a biopsy
You are the nurse caring for a patient who is a recent immigrant to the United States from Mexico. What would be important for you to assess when assessing the patient's culture?
A) The patient's support systems B) The patient's marital status C) The patient's age D) The patient's communication style
__________ is a complex of symptoms primarily characterized by profound fatigue with no identifiable cause
Fill in the blank(s) with correct word
The nurse is assessing a patient recovering from surgery for abdominal compartment syndrome. Which findings could indicate a life-threatening condition may be developing in this patient?
1. Temperature 100.7°F 2. Complaint of dyspnea 3. Poor skin turgor 4. Blood pressure 146/88 mm Hg 5. Complaint of chest pain