The nurse is caring for a patient with pneumonia who complains of shortness of breath
Further assessment reveals an oxygen saturation of 89% on room air, 28 respirations/min with bilateral crackles in lung bases, blood pressure of 160/94, and a pulse rate of 102 beats/min. Which nursing diagnosis is priority for this patient?
a. Activity Intolerance
b. Impaired Gas Exchange
c. Ineffective Cardiopulmonary Tissue Per-fusion
d. Self-Care Deficit: Bathing and Hygiene
B
While all nursing diagnoses may apply to this patient, impaired gas exchange is the highest priority because this is the underlying problem for the other nursing diagnoses, as well as physi-ologically the highest priority.
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To balance the rights of employees and the public, Congress passed a special set of procedures for settling labor disputes in the health care industry
These include a specification that one party must notify the other of intent to change or terminate a contract ______ days before the contract expires. Standard Text: Fill in the blank(s) with correct word
The treatment team meets with a client for the first time and determines, with the client's input, a nursing diagnosis, goal, and steps to reach this goal
In addition to a nursing diagnosis, the treatment team has completed which phase of the nursing process? a. Evaluation b. Intervention c. Planning d. Assessment
A client is experiencing an increase in blood glucose levels. The nurse understands that which of the following hormones would be important in lowering the client's blood glucose level?
A) Insulin B) Parathormone C) Melatonin D) Calcitonin
A child has been taking SD methylphenidate [Ritalin], 10 mg at 0800 and 1200 and 5 mg at 1600, for 2 months. The parents tell the nurse that the child sometimes misses the noon dose while at school. The child's appetite is normal
The teacher has reported a slight improvement in hyper-activity and impulsivity. What will the nurse do? a. Ask the prescriber whether this child could be given methylphenidate [Concer-ta]. b. Contact the prescriber to suggest using a nonstimulant medication. c. Reinforce the need to take all doses as prescribed. d. Suggest drug holidays for the child on weekends.