A client has been receiving an aminoglycoside for several weeks and comes to the clinic complaining of ringing in his ears and some dizziness. The nurse suspects ototoxicity
When developing this client's plan of care, which nursing diagnosis would be the priority?
A) Impaired Comfort
B) Altered Thought Process
C) Diarrhea
D) Risk for Injury
Ans: D
Feedback:
The development of ototoxicity would lead the nurse to identify a nursing diagnosis of Risk for Injury related to the effects of ototoxicity. Although the client's ringing in the ears could cause discomfort, the priority nursing diagnosis would be Risk for Injury. There is no evidence of impaired comfort, altered thought process or diarrhea.
You might also like to view...
The written plan of an organisation's official position, based on their purpose and goals on a specific health situation, that are intended to guide and determine decisions for improving a specific health situation is referred to as:
a. Ethical commitment b. Initiatives c. Policy d. Accreditation documents
The nurse labels a patient an alcoholic because of his ethnicity. This is called:
1. Stereotyping 2. Prejudice 3. Racism 4. Ethnocentrism
A 20-year-old client gave birth to a baby boy during the 43rd week of gestation. Which of the following might the nurse observe in the newborn during routine assessment?
A) The newborn may look wrinkled and old at birth. B) The infant may have excess of lanugo and vernix caseosa. C) The testes in the child may be undescended. D) The newborn may have short nails and hair.
Which of the following terms is used to describe the structure that contains and nourishes the fertilized ovum as it develops?
A. Skene's gland B. vagina C. fallopian tube D. uterus