A nurse is providing care to an infant who is admitted with burns over the face, neck and chest. The nurse identifies which goal as priority for planning the infant’s care?
Answer: Airway remains patent
Explanation:
The priority goal is maintain a patent airway especially because the burns affect the face and neck. Adequate output, maintaining pain at a tolerable level, and having the burns infection free are all appropriate goals for this infant, but maintaining a patent airway is the priority.
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An older adult client has been taking lithium for several months. The nurse should recognize that the client's age increases susceptibility to which of these potential complications?
a. "breakthrough" episodes despite appropriate medical management b. developing lithium toxicity c. noncompliance with drug regime d. sodium depletion
A nurse would recognize that further instruction was needed if a nursing student expressed the assumption that a patient
1. Cannot be in pain if she is sleeping. 2. Is the pain expert. 3. May be able to get more rest with pain medication. 4. May experience sleeplessness because of the hospital environment.
The correlation between height and weight would likely be greatest in which of the following populations?
a. 15-year-old adolescents b. College basketball players c. 1-year-old infants d. People with growth hormone deficiency
The nurse is caring for a client with heart failure. Which assessment findings indicate the client is currently experiencing stage 2 heart failure?
Standard Text: Select all that apply. 1. Fatigue with physical activity 2. Palpitations with physical activity 3. No symptoms with physical activity 4. Dyspnea with physical activity 5. Angina at rest