A young adult with a severe episode of asthma bronchoconstriction comes to the emergency department with signs of respiratory distress. When the nurse performs the admission assessment,
she notes that the patient is not able to say where she is or the time. Which nursing diagnosis is probably most suitable for this patient?
a. Chronic Confusion
b. Acute Confusion
c. Impaired Verbal Communication
d. Readiness for Enhanced Communication
ANS: B
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Complete the following sentence with the correct word or number
To ensure accuracy and prevent misinterpretation, place a _____ before the decimal point.
Which of the following activities are normally acquired in the toddler years? Select all that apply
A) rolling over B) pulling to a standing position C) walking D) running E) jumping F) climbing stairs
A 45-year-old woman is seen because of irregular menstrual periods. Her follicle-stimulating hormone (FSH) level is 48 mIU/mL, and her luteinizing hormone (LH) level is elevated. She asks the clinician what this means. Which would be the best response?
a. "You are approaching menopause." b. "You have a hormone imbalance." c. "Your FSH is normal, but your pituitary is making too much LH." d. "There is an imbalance between your ovaries and pituitary."
To best facilitate interdisciplinary communication regarding the plan of care for a patient diagnosed with paranoid schizophrenia, the nurse:
a. Requires weekly meetings of the care team b. Ensures the team includes members from all appropriate disciplines c. Uses the standardized NIC classification system of care interventions d. Recognizes the need for team access to patient records and makes them available