A nurse assisting with prioritizing nursing diagnoses should select which nursing diagnosis as the highest priority?
a. Impaired adjustment
b. Acute pain
c. Risk for imbalanced body temperature
d. Ineffective airway clearance
D
Without a clear airway, no need exists for the other diagnoses.
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In researching the effectiveness of an antihypertensive medication, the nurse knows that the medication would be the _________________ variable and the person's blood pressure would be the ____________________ variable
a. dependent, independent b. independent, dependent c. treatment, controlled d. controlled, treatment
The nurse determines clinical death and initiates CPR immediately. How long is resuscitation considered possible?
a. If cardiopulmonary arrest has existed for no more 2 minutes b. If cardiopulmonary arrest has existed for no more 3 minutes c. If cardiopulmonary arrest has existed for no more 4 minutes d. If cardiopulmonary arrest has existed for no more 5 minutes
A client who is Chinese American has been diagnosed with an anxiety disorder. The client tells the
nurse she thinks her symptoms began when her energy became imbalanced. When the nurse asks what ideas the client has about ways of treating the imbalance, the nurse should expect the client to suggest a plan for a. eating special foods. b. taking antianxiety medication. c. undergoing cognitive behavior therapy. d. having a native healer perform a ritual.
The charge nurse is made aware that a 96-year-old patient does not want to be cared for by African Americans. What does this patient's attitude exemplify?
1. Culture 2. Ethnicity 3. Life trajectory differences 4. Complexity of the Cultural Care triad