The nurse is planning care for a number of clients who have been victims of a hurricane. Which is the priority nursing diagnosis to include in the plan of care for the victims?
A) Chronic Confusion
B) Decreased Cardiac Output
C) Risk for Post-Trauma Syndrome
D) Fatigue
Answer: C
Almost all victims of trauma would be at risk for post-trauma syndrome. Some victims may experience decreased cardiac output, but not all. Clients will not experience chronic confusion from the trauma unless there is a disease process already present that causes confusion. Fatigue may or may not affect the victims.
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The school nurse is presenting a health promotion class to a group of high school students. How does the nurse define health?
A) Health is being disease free. B) Health is having fulfilling relationships. C) Health is having a clean drinking source and nutritious food. D) Health is being connected in body, mind, and spirit.
The nurse manages a clinic in an area with a high rate of sexually transmitted diseases (STDs). Which strategy best helps decrease the rate of infection?
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The nurse is caring for a patient immediately postoperative after a left pneumonectomy. How should the nurse position the patient?
a. In high Fowler position b. In semi-Fowler position c. In a right side-lying position d. In a left side-lying position
Which pediatric client will the community health nurse assess first?
1. A 6-year-old who is wheezing and short of breath. 2. A 2-year-old who has been pulling at his ear. 3. A 2-month-old with a 2-day history of diarrhea. 4. A 10-year-old with a sore throat and low-grade fever.