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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The nurse has applied EMLA cream as ordered. How does the nurse assess that the cream has achieved its purpose?
A) Assess the skin for redness. B) Note any blanching of skin. C) Lightly tap the area where the cream is. D) Gently poke the child with a needle.
A nurse assists a geriatric client to discuss the desire to complete advanced directives with the client's adult children. This is an example of
A) collaboration with the interdisciplinary team. B) facilitation of palliative care. C) engagement in professional development. D) accountability to protect client's rights and autonomy.
To facilitate the insertion of your gloved finger into the anal sphincter, you should instruct the patient to
a. take a deep breath and hold it. c. bear down. b. take shallow breaths. d. tighten the sphincter.
When planning a diet for a client who wants to lose weight, the nurse refers to the Dietary Reference Index for recommendations. According to the DRI, what amount of carbohydrates should the nurse instruct the client to consume each day?
a. 5-10% of total daily calories. b. 10-35% of total daily calories. c. 20-35% of total daily calories. d. 45-65% of total daily calories.