Which nursing diagnosis is likely to be of highest priority when developing a nursing care plan?
a. Impaired Memory c. Diarrhea
b. Ineffective Denial d. Social Isolation
C
One of the most common methods of selecting priorities is the use of Maslow's hierarchy of needs, which requires that life-threatening diagnoses be given more urgency that non-life-threatening diagnoses. Once the basic physiological needs are met, the nurse can consider needs on the next level of the hierarchy and so on up the hierarchy until all of the patient's nursing diagnoses have been prioritized.
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The nurse has taken shift report on her patients and has been told that one patient has an ocular condition that has primarily affected the rods in his eyes. Considering this information, what should the nurse do while caring for the patient?
A) Ensure adequate lighting in the patient's room. B) Provide a dimly lit room to aid vision by limiting contrast. C) Carefully point out color differences for the patient. D) Carefully point out fine details for the patient.
A client has been diagnosed with an acquired immunodeficiency disorder and expresses concern that she might pass this disorder on to her future children. What should the nurse consider when forming a response to this concern?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Because the acquired immunodeficiency disorder is viral, it may be transmitted to the children. 2. There is a high possibility of transmitting this disease genetically. 3. This woman will likely never conceive children due to this illness. 4. Genetic transmission would occur only if genetic damage or mutation were present. 5. Genetic transmission is unlikely.
The nurse recognizes the client with reduced renal function should also be assessed for:
A) a decrease in red blood cell production. B) an increase in white blood cell production. C) a low blood pressure. D) signs of dehydration.
The pediatrician orders blood work for a patient with juvenile arthritis. The pediatric nurse knows that a higher than normal white blood cell count (>6000 to 17,000/microliter) indicates:
A) bacterial infection. B) bleeding disorder. C) parasitic condition. D) inflammatory condition.