Which is the priority nursing diagnosis or collaborative problem for the client with pneumo-nia?
A. Deficient Fluid Volume
B. Disturbed Sleep Pattern
C. Ineffective Airway Clearance
D. Potential for Pleural Effusion
C
All the listed nursing diagnoses and collaborative problems are important and serious. The one with the greatest priority is Ineffective Airway Clearance, because it is the most life threatening as an actual problem.
You might also like to view...
What statement by a 61-year-old patient who is to take an antitussive with codeine indicates that the nurse's teaching has been effective?
A) "I will take this medication anytime I start to cough." B) "This medication may make me anxious and nervous." C) "I should call the physician if I develop nausea, diarrhea, or stomach cramps while taking this medication." D) "This medication can cause drowsiness, so I will avoid driving or using power equipment while I take it."
A patient with a migraine took a dose of a prescribed triptan, eletriptan (Relpax), and 1 hour later the headache is still intense. The patient's husband calls the clinic and asks the nurse what they should do
What is an appropriate nursing response? A) "Tell her to lie down in a quiet cool room and just wait it out. It will subside." B) "She can take another dose of the drug 2 hours after the initial dose if the headache continues." C) "Give her a dose of an ergot drug if you have it. It will decrease the intensity of the pain." D) "Ibuprofen may increase the action of the triptan."
A school-age client is admitted to the pediatric intensive care unit (PICU), unconscious and with multiple traumatic injuries, after a skateboard accident that included a closed head injury
Many health professionals are involved in the client's and the scene is chaotic. The parents are extremely anxious and want to know what's happening. The case manager asks for an interdisciplinary team meeting to speak with the client's parents. Which is the rationale for this meeting? A) To allow for each specialty to practice independently B) To share and evaluate information for care planning and implementation, and prevent priority conflicts, redundancy, and omissions in care. C) To all the primary healthcare provider to make all the decision regarding the client's care D) To prevent the parents from trying to change the plan of care
The nurse caring for older patients wants to return to school to become a gerontological nursing specialist. Which criteria would the nurse need to achieve in order to fulfill this career goal? Standard Text: Select all that apply
1. Have a master's degree with advanced nursing practice specialization. 2. Complete at least 500 supervised hours of providing care to older patients. 3. Have a gerontological nurse manager recommend the nurse for the credential. 4. Complete a course in advanced pathophysiology and other health-related courses. 5. Have a doctor of nursing practice degree with advanced nursing practice specialization.