The nurse caring for a client after a thyroidectomy plans care understanding that which of the following nursing diagnoses takes priority?

a. Acute Pain
b. Imbalanced Nutrition
c. Impaired Skin Integrity
d. Risk for Suffocation


D
Although uncommon, there is a real risk of respiratory obstruction related to swelling at the sur-gical site or postoperative bleeding. Although all options are valid diagnoses, the airway diagno-sis takes priority, particularly in the immediate postoperative period.

Nursing

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Albuterol (Proventil) is administered for bronchodilation. What is stimulated to be increased in production with the administration of this beta2-adrenergic agonist?

A) Leukotrienes B) Cortisol C) Cyclic AMP D) Glucagon

Nursing

A client in the ambulatory care clinic tells the nurse about experiencing frequent diarrhea. The nurse inquires about the client's diet. Which statement from the client would be of greatest concern for the nurse?

A) "I like to eat a bran muffin and applesauce every morning for breakfast." B) "I like to eat popcorn for an afternoon snack." C) "I like to eat cottage cheese, peaches, and a turkey sandwich for lunch." D) "I like to eat baked chicken, yeast rolls, and a small salad for dinner."

Nursing

A nurse makes the assessment that the client demonstrates anxiety and a number of responses

consistent with sympathetic nervous system stimulation. The nurse would suspect the presence of a high concentration of brain a. GABA. b. histamine. c. acetylcholine. d. norepinephrine.

Nursing

Which portion of the peripheral nervous system, activated by stress, prepares the body for the fight-or-flight response?

a. cerebral nervous system c. somatic nervous system b. parasympathetic nervous system d. sympathetic nervous system

Nursing