Which is the priority nursing diagnosis when planning care for a pediatric client who is diagnosed with bacterial meningitis?
1. Impaired Gas Exchange
2. Risk for Infection
3. Anxiety (parental)
4. Acute Pain
1
Explanation:
1. Impaired gas exchange would be the priority to ensure patent airway and adequate gas exchange.
2. The child already has an infection.
3. The parents will be anxious about the outcome for their child, but this is not the priority diagnosis.
4. Pain management is important but is not the priority.
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A gerontologic nurse planning the neurologic assessment of an older adult is considering normal, age-related changes. Of what phenomenon should the nurse be aware?
A) Hyperactive deep tendon reflexes B) Reduction in cerebral blood flow C) Increased cerebral metabolism D) Hypersensitivity to painful stimuli
The nurse has adequately managed a patient's airway, breathing, and circulation. What is the next nursing action?
1. Assess level of consciousness. 2. Administer prophylactic tetanus toxoid as prescribed. 3. Auscultate heart sounds. 4. Assess the chest for paradoxical movements.
When an RN is carrying out the interventions that assist patients to meet positive outcomes, the role element that is being implemented is that of:
a. advanced practice nurse. b. care provider. c. entrepreneur. d. change agent.
In critiquing nominal-level instruments, the reviewer checks the items in the instrument to be sure they are:
a. mutually exclusive and exhaustive. b. precise and complete. c. stable and structured. d. valid and reliable.