A nurse is caring for a client in the intensive care unit who underwent a CABG earlier this morning. Which nursing diagnosis takes priority?
a. Decreased Cardiac Output
b. Impaired Gas Exchange
c. Pain
d. Risk for Hemorrhage
B
Using the ABCs (airway, breathing, circulation), Impaired Gas Exchange would be the priority followed by Decreased Cardiac Output. Pain would be third because it is an actual, not a "risk for," diagnosis.
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An acute care facility is working to decrease the risk of nosocomial infections in older patients. Which preventative action should be included?
1. Limit the sanitization of equipment. 2. Adopt aspiration precautions for dysphagia. 3. Provide antibiotics as prescribed for viral infections. 4. Insert an indwelling urinary catheter for urinary incontinence.
Which one is not included in the Five Essential Skills Clusters?
a. Care, Compassion and Communication b. Medication Management c. Basic Life Support d. Infection Prevention and Control
The nurse is caring for a patient who is receiving clopidogrel (Plavix). The patient calls the nurse to report flulike symptoms
The nurse notes a heart rate of 76 beats per minute, a blood pressure of 110/76 mm Hg, and a respiratory rate of 20 breaths per minute. The nurse suspects that the patient is experiencing which condition? a. Anaphylaxis b. An expected drug side effect c. Hemorrhage d. Possible myocardial infarction
The nurse should implement which prescribed treatment for a child with warts?
a. Vaccination b. Local destruction c. Corticosteroids d. Specific antibiotic therapy