The nurse is planning care for an older patient with pneumonia and a stage II pressure ulcer. Which nursing diagnosis would have the greatest priority for this patient's care?
1. Acute Pain related to destruction of tissue
2. Knowledge Deficit related to care of skin disorder
3. Risk for Infection related to impaired skin integrity
4. Potential for Infection related to impaired skin integrity
1
Rationale: Pain is the most significant problem initially. Once pain has been addressed and managed, the remaining diagnoses can be prioritized and interventions planned.
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The nurse is caring for a 3-year-old with severe burns. What is the nurse aware is the minimum adequate hourly urine output?
a. 5 mL/hr b. 10 mL/hr c. 15 mL/hr d. 20 mL/hr
Which of the following best describes what is being discussed in relation to concerns over patients' safety and nurse fatigue?
a. All hospitals are now required to report errors made that are a result of low nurse staffing. b. The Centers for Disease Control and Prevention (CDC) is monitoring the incidence of medical errors caused by nurse understaffing. c. The Registered Nurse Safe Staffing Act was passed by Congress in 2013. d. Legislation has been suggested that staffing systems require the input of direct care registered nurses.
It is necessary to measure a patient's height, but the patient's legs are suspended in traction. Which nursing action is indicated?
1. Measure from the patient's head to the iliac crest and use a standard table to estimate height. 2. Remove the traction weights long enough to quickly measure length of one leg. 3. Measure the patient's arm span. 4. Estimate the patient's height from his stated weight.
When someone is accused of violating a ____________________, the government at the county, city, state, or federal level imposes appropriate punishments
Fill in the blank(s) with correct word