A client presents at the emergency department reporting a burning pain in the chest of a 7 on a 0 to 10 pain scale. Gastroesphogeal reflux disorder (GERD) secondary to hiatal hernia is diagnosed. Based on this data, which is the priority nursing diagnosis
A) Dysfunctional Gastrointestinal Motility
B) Anxiety
C) Acute Pain
D) Ineffective Health Maintenance
Answer: C
Acute pain management is the priority of nursing care. Anxiety may be decreased by relieving pain. Dysfunctional gastrointestinal motility and ineffective health maintenance are less urgent.
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A woman uses a diaphragm for contraception. You would instruct her to return to the clinic to have her diaphragm fit checked after which of the following?
A) Cervical infection B) A weight gain of 20 lb. C) A vaginal infection D) Six months of nonuse
The nurse has an adequate understanding of patient-focused care when stating which of the following?
a. "Patient-focused care includes the physi-cian, who supervises care.". b. "Patient-focused care decreases produc-tivity.". c. "In patient-focused care, the nurse super-vises delivery of care.". d. "The patient is not an active participant in patient-focused care.".
"Lean culture" is a term used for the principle of eliminating waste. Which illustrates the principle that nurses must do more with less?
a. Assigning the night shift RN to restock the rooms. b. Employing a staff member to stock all patient rooms for frequently used supplies. c. Assigning all nurses to restock their rooms every day. d. Placing all frequently used supplies in a central location.
Nurses understand that an individual may demonstrate anxiety in all of the following ways except:
A) Antisocial behavior B) Conversion C) Identification D) Displacement