When developing the nursing plan of care for a 12-year-old child who has been experiencing frequent acute asthma attacks,
the nurse considers which of the following nursing diagnoses as most important after Ineffective Airway Clearance is addressed?
1. Knowledge Deficit
2. Self-Esteem, situational low
3. Anxiety
4. Fatigue
3
Rationale: Anxiety is anticipated with acute asthma attacks; it has both a physiological cause (hypoxia) and psychological cause (fear of death). The other diagnoses would require more information to determine if they are of significance to this child.
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A nurse is caring for an elderly client. What strategy should the nurse include in order to facilitate effective communication?
A) React only to the facts during conversation. B) React enthusiastically during conversation. C) Use active listening during communication. D) Use an authoritarian approach toward the client.
A Community health nurse is giving a presentation at the elementary school PTO meeting. The nurse is going to speak about vaccines and how they work to prevent disease
A parent asks how a vaccine can protect from future exposures to diseases against which they are vaccinated. What would be the nurse's best response? A) The vaccine causes an antibody response in the body. B) The vaccine responds to an infection in the body after it occurs. C) The vaccine is similar to an antibiotic that is used to treat an infection. D) The vaccine causes the patient to be infected.
Which patient statement would the nurse evaluate as indicating that the patient has otalgia?
1. "I fainted when I saw blood on my hand.". 2. "My ears ring all of the time.". 3. "I feel dizzy most of the time.". 4. "When I got up this morning, my ear was hurting.".
The normal adult will have a stroke volume of how many milliliters (mL) per heartbeat??
A) 70 mL B) 120 mL C) 3360 mL D) 4620 mL