The nurse is determining nursing diagnoses appropriate for a client demonstrating productive cough with pink frothy sputum, shortness of breath, and crackles. Which of the following nursing diagnoses is of the most importance?
1. Activity intolerance
2. Anxiety
3. Impaired gas exchange
4. Risk for ineffective respiratory function
3
The first priority is to maintain adequate oxygenation. The next diagnoses in priority would be risk for ineffective respiratory function. Activity intolerance would be the third diagnosis. Anxiety would be the last diagnosis in order of priority.
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The hospice nurse clarifies that hospice service is initiated when what type of treatment is no longer effective?
a. Proactive b. Palliative c. Alternative d. Curative
A patient diagnosed with myesthenia gravis has been hospitalized to receive plasmapheresis for a myesthenic exacerbation. The nurse knows that the course of treatment for plasmapheresis in a patient with myesthenia gravis is what?
A) Every day for 1 week B) Determined by the patient's response C) Alternate days for 10 days D) Determined by the patient's weight
When information is reported by the patient, it is considered to be subjective data. Which statement below is considered to be objective data?
1. The patient tells the nurse, "I have pain in my lower back." 2. Mr. Williams tells the nurse he is having trouble catching his breath. 3. Miss Sims has told the doctor she has no history of allergies to antibiotics. 4. The patient's skin is warm and dry.
Extended families often experience conflict related to which issue?
a. Financial concerns c. Custody of dependent children b. Lack of formal edu-cation d. Parenting and authority