The nurse would select which of the following nursing diagnoses as having the highest priority for a client with narcolepsy?
1. Self-care deficit
2. Risk for injury
3. Disturbed thought processes
4. Compromised family coping
ANS: 2
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The school nurse is trying to prevent the spread of a flu virus through the school. Infection-control strategies that could be employed include:
1. Teaching parents safe food preparation and storage. 2. Withholding immunizations for children with compromised immune systems. 3. Sanitizing toys, telephones, and doorknobs to kill pathogens. 4. Not separating children with infections from well children.
Which of the following nurse leaders is a recognized theorist on transcultural nursing?
a. Dorthea Orem b. Madeleine Leininger c. Martha Rogers d. Nola Pender
When doing an initial assessment for his shift the nurse finds that one of his patients is exhibiting signs of compartment syndrome
The nurse knows that the patient can permanently lose function in the extremity if the anoxic situation continues for longer than what? A) 3 hours B) 4 hours C) 5 hours D) 6 hours
When assessing the tympanic membrane of an older patient, the nurse notes the presence of two jagged white lines. What best describes these findings?
1. The tympanic membrane is preparing to rupture. 2. The tympanic member has become infected. 3. The white lines indicate a past history of a tympanic rupture. 4. The presence of these markings is a normal finding.