The patient's pain is severe and vital signs are: Temperature: 98.4° F; Pulse: 120 breaths/min; Respiration: 24 breaths/min; and Blood Pressure: 100/60
She is anxious and sobbing uncontrollably, saying "My baby, my baby." What is the priority nursing diagnosis?
A. Acute pain related to peritonitis and rupture
B. Risk for shock related to rupture of fallopian tube
C. Anxiety related to unknown outcomes of condition
D. Ineffective childbearing process related to loss of pregnancy
B
You might also like to view...
An adult, who was sexually abused as a child, has been displaying some stress. She seems to complain of increasing medical problems when she is under more stress. The nurse would classify this as an example of
A) vitamin deficiency. B) the stress-diathesis theory. C) mendelian research. D) parental disassociation.
The nurse recognizes the client's death is impending when which assessment finding is noted?
1. Extremities appear mottled and cyanotic 2. Client requests a meeting with spiritual counselor 3. Heart rate and blood pressure increases 4. Increased appetite
Some characteristics of both leaders and managers are the same. Such a characteristic is:
1. motivational skills. 2. sympathy skills. 3. authoritarian style. 4. participative style.
Which of the following documentation entries is an example of objective data?
1. An area of erythema to the upper right extremity approximately 1 by 4 inches 2. Complaint of pain in the RLQ of the abdomen rated 5 on pain scale of 1 to 10 3. Family states that the patient does not sleep at night and wanders about the house 4. Assessment reveals past history of drug abuse