Which of the following is a priority nursing diagnosis for a patient with COPD?
A) Ineffective breathing patterns related to ineffective respiratory mechanisms of the chest wall
B) Self-care deficit related to activity intolerance
C) Altered sleeping pattern related to insufficient ventilation
D) Ineffective individual coping related to decreased socialization
Ans: A
Feedback: The priority nursing diagnosis for a patient with COPD is an ineffective breathing pattern. While the three other identified nursing diagnoses are valid, ineffective breathing pattern is the priority diagnosis.
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Which of the following accurately reflects a recommended guideline when assessing blood pressure?
A) If this is the initial nursing assessment of a patient, take the blood pressure on both arms and use the arm with the lower reading for subsequent pressures. B) Use electronic monitoring devices on patients with irregular heartbeats, tremors, or the inability to hold the arm still. C) Raise the patient's arm over the head to help relieve congestion of blood in the limb and make the sounds louder and more distinct. D) In newborns, take the blood pressure in one arm and one leg and document the difference to check for heart defects.
Which statement about acute confusion is correct?
a. It occurs gradually over time. b. It is usually permanent. c. Infection, illness, and injury are common causes. d. It is caused by increased blood flow to the brain.
A nurse is monitoring the exercise of a 42-year-old woman. Which of the following would be the estimated maximum heart rate (MHR) for this woman?
a. 126 b. 142 c. 178 d. 184
The normal FHR baseline
A. Decreases during labor B. Fluctuates during labor C. Increases during labor