You are developing a care plan for a patient with Cushing's syndrome. What nursing diagnosis would have the highest priority in this care plan?
A) Risk for injury related to weakness
B) Disturbed body image related to changes in physical appearance
C) Risk for loneliness related to disturbed body image
D) Fatigue related to sleep disturbances
Ans: A
Feedback: The nursing priority is to decrease the risk of injury by establishing a protective environment. The patient who is weak may require assistance from the nurse in ambulating to prevent falls or bumping corners or furniture. While the other nursing diagnoses are realistic and important to address, the nursing priority should focus on the patient's safety.
You might also like to view...
The nurse is performing an assessment on a client with Graves disease. Which assessment manifestation does the nurse expect to assess?
A) Dry, cold skin B) Orbital tissue inflammation C) Hair loss D) Weight gain
What is the preferred treatment of human papillomavirus (HPV) infection?
a. topical antibiotics b. cryosurgery c. chemotherapy d. surgical removal under general anesthesia
Wear disposable gloves when shaving patients.
Answer the following statement true (T) or false (F)
A 2-year-old child with a fever is prescribed amoxicillin clavulanate 250 mg/5 mL 3 times daily by mouth for 10 days for otitis media. Which is the priority teaching instruction for the parents of this child?
1. Giving the antibiotic for the full 10 days 2. Measuring the prescribed dose in a household teaspoon 3. Spreading the dose evenly during daylight hours 4. Stopping the antibiotic when the child is afebrile