A patient admitted yesterday for injuries sustained while intoxicated believes bugs are crawling on the bed. The patient is anxious, agitated, and diaphoretic. What is the priority nursing diagnosis?
a. Ineffective airway clearance
b. Ineffective coping
c. Ineffective denial
d. Risk for injury
D
The patient's clouded sensorium, sensory perceptual distortions, and poor judgment predispose a risk for injury. Safety is the nurse's priority. The scenario does not provide data to support the other diagnoses.
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The client with chronic open-angle glaucoma is receiving timolol (Timoptic) eye drops. Which evaluation finding would indicate to the nurse the treatment is working?
A) Intraocular pressure 15 mm Hg B) Reduced peripheral vision C) Halos around lights D) Decrease in nausea and vomiting
What is helpful to tell a mother who is concerned about preventing sleep problems in her 2-year-old child?
a. Have the child always sleep in a quiet, darkened room. b. Provide high-carbohydrate snacks before bedtime. c. Communicate with the child's daytime caretaker about eliminating the afternoon nap. d. Use a nightlight in the child's room.
Who was the first educated African-American professional nurse?
a. Linda Richards b. Phoebe Pember c. Sojourner Truth d. Mary Eliza Mahoney
The pediatric nurse assessing the child's ear, nose, and throat knows that children are more susceptible to otitis media than adults due to anatomical differences. The nurse is aware that children have:
Select all answers that apply. A) underdeveloped cartilage lining. B) horizontal lying Eustachian tubes. C) longer, thinner Eustachian tubes. D) immature humoral defense mechanisms.