Which nursing diagnosis has the highest priority for a patient with an acute head injury?

A) Deficient fluid volume
B) Ineffective tissue perfusion: cerebral
C) Risk for infection
D) Ineffective airway clearance


Ans: D
Feedback: Establishing a patent airway always takes priority. Without an open airway, interventions aimed at the other nursing diagnoses will be in vain. The other diagnoses are addressed after a patent airway has been established.

Nursing

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The purpose of a root-cause analysis (RCA) is to:

a. discipline the staff involved in the patient safety event. b. disclose the medical error to the pa-tient/patient's family. c. identify the person(s) responsible for committing the error. d. identify the systems issues that led to a sentinel event.

Nursing

In times of nursing shortages and economic downturns, management requests individuals to assume multiple roles. Sometimes these roles overlap or are not well defined, and conflict arises as to who is to perform what role. This can lead to __________ _____

Fill in the blank with correct word

Nursing

Never fill the laundry hamper more than two-thirds full.

Answer the following statement true (T) or false (F)

Nursing

The nurse is providing care to a client who is diagnosed with mild benign prostatic hyperplasia (BPH). Which lifestyle change is appropriate for this client?

A) Increasing caffeine intake B) Decreasing alcohol intake C) Urinating at first urge D) Using over-the-counter antihistamines

Nursing