A patient with pneumonia has a fever of 101.4° F (38.6° C), a nonproductive cough, and an oxygen saturation of 88%. The patient complains of weakness, fatigue, and needs assistance to get out of bed
Which nursing diagnosis should the nurse assign as the highest priority?
a. Hyperthermia related to infectious illness
b. Impaired transfer ability related to weakness
c. Ineffective airway clearance related to thick secretions
d. Impaired gas exchange related to respiratory congestion
ANS: D
All these nursing diagnoses are appropriate for the patient, but the patient's oxygen saturation indicates that all body tissues are at risk for hypoxia unless the gas exchange is improved.
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A client tells the nurse that she doesn't want to change her diet to combat her iron deficiency anemia. "Just let me take the pills," she says. Which of the following replies by the nurse has the best scientific support?
1. "Just be sure to take the pills with food to minimize any diarrhea." 2. "Adding iron rich foods to your diet will provide other nutrients in addition to iron." 3. "Whatever is easiest for you is fine." 4. "Be sure to include two cups of milk in your diet every day."
The nurse is creating a care plan for a patient with heart failure. Which lifestyle changes does the nurse include in the plan of care? (Select all that apply.)
a. Fluid restriction of 1000 mL per day b. Weight loss program c. Smoking cessation program d. Aerobic exercise program e. Low-salt, low-fat diet
In this case study Martha received relatively low levels of PEEP and pressure support prior to intubation. What are the potential advantages and disadvantages of increasing these parameters for this patient?
What will be an ideal response?
The nurse is aware that in a newborn any abnormality of structure, function, or metabolism is considered a _________ defect
Fill in the blank(s) with correct word