A client with Guillain-Barré syndrome is admitted to the hospital. The nurse plans caregiving priority to interventions that address which priority client problem?
a. Anxiety
b. Low fluid volume
c. Inadequate airway
d. Potential for skin breakdown
ANS: C
Airway takes priority. Anxiety is probably present, but a physical diagnosis takes priority over a psychosocial one. The client has no reason to have low fluid volume unless he or she has been unable to drink for some time. If present, airway problems take priority over a circulation problem. An actual problem takes precedence over a risk for a problem.
You might also like to view...
The patient was admitted to the hospital with advanced-stage cancer. As the nurse was admitting her, the patient told her about how her little dog learned a new trick, and could play dead when she said "bang-bang
" Why did the nurse listen attentively to the patient's story? a. She knew it was easy to do and she had nothing else to do at that time. b. It was little more than two people talking back and forth. c. She knew it was probably not going to affect the patient-nurse relationship. d. She knew it was a way to know and respond to what matters to the patient.
A health care agency is applying for accreditation and the accrediting agency is conducting audits of randomly selected medical records. To support the agency's accreditation, these medical records should include:
A) Evidence of home care and nursing follow-up for six weeks following discharge B) Self-reflection from nursing and other care providers about the quality of their care C) Evidence that nurses have set goals for improving their future practice D) Evidence that nursing interventions have been evaluated in terms of the client's response
A patient is having problems with fecal incontinence. What should the nurse encourage the patient to include in the diet to help with this problem?
a. Raw fruits and vegetables b. Potatoes and bread c. Coffee and tea d. Prune and grape juice
What is the most important strategy for avoiding burnout and maintaining a high motivation level?
A) Intrinsic motivation B) External motivation C) Positive reinforcement D) Self-care