You are caring for a patient who has difficulty maintaining a patent airway due to hemorrhage in the oral cavity. What would be the most appropriate nursing diagnosis for this patient?
A) Ineffective airway clearance
B) Impaired swallowing
C) Risk for trauma
D) Ineffective individual coping
Ans: A
Feedback: Ineffective airway clearance describes difficulty with maintaining a patent airway. Therefore options B, C, and D are incorrect.
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A nurse is frustrated with a coworker who has habitually failed to take her breaks on time. As a result, the nurse's own breaks are often delayed or cut short. Which of the following statements is most appropriately assertive?
A) "It's selfish to make me pay the price for your poor time management." B) "Have you given some thought to ways that you could reorganize the way you take your breaks?" C) "I would appreciate it if you made sure you took your breaks on time so that I can do the same." D) "I'm afraid I'm going to have to report this to our manager because it's inconsiderate."
A nurse is obtaining a patient history. The nurse enters the information into a handheld as the client speaks to her and asks questions clearly and concisely
The nurse asks questions regarding information the patient has already given. The patient says, "Are you listening to me?" How should the nurse respond? A. "Yes, I'm listening." B. "I'm sorry, I'm a bad typist." C. "This form is ridiculous because it asks the same question." D. "This system is new and I do not want to forget anything you tell me."
Order: Potassium chloride (KCl) 0.9 mEq to be added to each IV q8h for an infant weighing 6 lb. The safe dosage range is 1 to 4 mEq/kg/24 hr, not to exceed 40 mEq/day
The safe pediatric rate is 0.5 to 1 mEq/kg/hr, not to exceed 10 mEq/hr. KCl 0.45 mL was withdrawn from a vial labeled 2 mEq/mL and further diluted to a total volume of 10 mL NS in a Buretrol. The IV infusion pump is infusing at 22 mL/hr. What is your course of action? ______________________________ a. Continueâ€"safe dose and rate b. Hold IVâ€"dilution incorrect in Buretrol c. Hold IVâ€"incorrect dose d. Restart infusion pump at l0 mL/hr
The home care nurse is caring for John O'Leary, who was discharged from the hospital after coronary bypass surgery. He lives with his wife, Joann, and son, Bob, who is 21 years old
As the nurse is completing her admission interview, she considers John's family as it relates to nursing care. Which of the following models reflects these considerations involving the family? A) Care of the individual in the context of family B) Consideration of the family's potential impact on client recovery C) Family as client, focusing on collective health D) Family as a component of society/primary unit