A person intentionally overdosed on antidepressants. Which nursing diagnosis has the highest priority?
a. Powerlessness
b. Social isolation
c. Risk for suicide
d. Compromised family coping
ANS: C
This diagnosis is the only one with life-or-death ramifications and is therefore of higher priority than the other options.
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The LPN/LVN is preparing to perform a focused assessment by body system. Appropriate actions include: Standard Text: Select all that apply
1. Explaining the procedure. 2. Instructing clients to retain urine for the procedure. 3. Organizing the assessment so that several body areas can be assessed in one position. 4. Providing for privacy. 5. Preparing equipment.
An advantage of prescribing a sublingual medication is that the medication is:
1. Absorbed rapidly 2. Excreted rapidly 3. Metabolized minimally 4. Distributed equally
The nurse is concerned that an older client will have difficulty self-administering medications. What did the nurse assess that caused this concern?
1. Eats several servings of fruits and vegetables each day 2. Altered memory 3. Decreased visual acuity 4. Decreased manual dexterity 5. Limits red meat in the diet
In order for the kidney tubules to continue to secrete hydrogen ions (H+) into the tubular filtrate, mechanisms must exist that allow the secreted hydrogen ions to be taken up (buffered) by components in the tubular filtrate
One such mechanism is: A. Secretion of ammonia (NH3) by tubular epithelial cells that combines with the hydrogen ions to form ammonium ions (NH4+) B. Secretion of bicarbonate ions (HCO3–) into the tubular filtrate by the tubular epithelial cells C. Secretion of phosphate ions into the tubular filtrate by the tubular epithelial cells D. Excretion of urea into the tubular filtrate