The nurse is preparing a care plan for a 72-year-old female hospitalized with asthma. The client is currently receiving oxygen at 2 L per nasal cannula. Her vital signs are respiratory rate of 28, heart rate of 86, and blood pressure of 108/52
Which of the following nursing diagnoses would be the highest priority for this client?
A) Altered tissue perfusion, respiratory
B) Injury, risk for
C) Activity intolerance
D) Infection, risk for
A
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Directions: Give the abbreviation for the following
Every hour: _____
Why is vitamin K given by injection to the newborn?
a. Most mothers have a vitamin K deficiency that develops during pregnancy. b. Bacteria that synthesize vitamin K are not present in newborns. c. Vitamin K prevents the synthesis of prothrombin. d. The newborn does not store vitamin K.
The nurse is caring for a client with a deep wound that has tunneling. Following the dressing change, what factors are essential for the nurse to document? Select all that apply
1. Size and shape of the tunnel 2. Direction and number of tunnels 3. Type of drainage coming from the wound 4. Length of dressing needed to pack wound 5. Amount of irrigation poured into the tunnel
To determine the severity of the symptoms for a 68-year-old patient with benign prostatic hyperplasia (BPH) the nurse will ask the patient about
a. blood in the urine. b. lower back or hip pain. c. erectile dysfunction (ED). d. force of the urinary stream.