Which nursing diagnosis would be considered a priority for the client with heart failure?
A. Anxiety related to hospitalization
B. Altered Health Maintenance
C. Impaired Gas Exchange
D. Altered Comfort
C
The client with heart failure experiences impaired gas exchange related to inadequate cardiac pump function. Although all other diagnoses presented here may be manifested, Impaired Gas Exchange is the priority because it is the most life threatening.
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The nurse demonstrates cultural competence when including what components of cultural understanding? (Select all that apply.)
1. Integration 2. Intellect 3. Communication 4. Sensitivity 5. Acceptance
The nurse is caring for a client receiving gentamicin IV. Which adverse effect would the nurse report to the prescriber immediately?
1. Nausea 2. Diarrhea 3. Ototoxicity 4. Increased urinary output
Which of the following factors is used to describe the degree to which successful planned change is thought to be better than the status quo?
a. Complexity b. Compatibility c. Trialability d. Relative advantage
The nurse is writing a care plan for a patient with brain metastases. The nurse decides that an appropriate nursing diagnosis is "anxiety related to lack of control over the health circumstances."
In establishing this plan of care for the patient, the nurse should include what intervention? A) The patient will receive antianxiety medications every 4 hours. B) The patient's family will be instructed on planning the patient's care. C) The patient will be encouraged to verbalize concerns related to the disease and its treatment. D) The patient will begin intensive therapy with the goal of distraction.