What nursing diagnosis has the highest priority when implementing care?
A. altered cardiac output
B. Altered body temperature
C. Altered urinary patterns
D. Altered thought process
Answer: A. altered cardiac output
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The nurse is caring for an 83 year old client who needs surgery. The client's self concept may be affected by which of the following identity stressors? Standard Text: Select all that apply
1. Sexuality concerns 2. Declining physical abilities 3. Poor coping ability 4. Change in physical appearance 5. Relationship concerns
Tim is a new patient to your mental health unit. He gets your attention, and when the two of you are alone he informs you that he "has the secret to eternal youth."
He offers to tell you, but he is unable to because "they're out there hiding so they can steal it from me. I must be very careful." Your best therapeutic response to Tim is: A. "Tim, I don't see anyone but you and me. It's time for dinner now. I'll walk with you to the dining room." B. "Tim, nobody can have eternal youth. That's not realistic, so don't talk about that anymore." C. "I'd love to hear about it, Tim. Let's go to the other room so no one else can hear. D. "I'll make sure 'they' are all gone, then you can tell me."
A parent asks about whether a 7-year-old child is able to care for a dog. Based on the child's age, what does the nurse suggest?
a. Caring for an animal requires more maturity than the average 7-year-old possesses. b. This will help the parent identify the child's weaknesses. c. A dog can help the child develop confidence and emotional health. d. Cats are better pets for school-age children.
A patient tells the nurse that she doesn't wash her hands very much because the skin on her hands is dry and cracked. What instruction should the nurse give this patient?
1. Wash the hands without soap. 2. Wash the hands with hot water. 3. Wash the hands with cold water. 4. Use a hand lotion with high fat or oil content to protect the skin.