A care plan is formulated for the patient with Cushing's syndrome. In prioritizing the nursing diagnoses, the nurse gives the greatest priority to the following nursing diagnosis:
A) Risk for injury related to weakness
B) Disturbed body image related to changes in physical appearance
C) Risk for loneliness related to disturbed body image
D) Fatigue related to sleep disturbances
Ans: A
Feedback: The nursing priority is to decrease the risk of injury by establishing a protective environment. The patient who is weak may require assistance from the nurse in ambulating to prevent falls or bumping corners or furniture. While the other nursing diagnoses are realistic and important to address, the nursing priority should focus on the patient's safety.
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The nurse is teaching a patient with a leg ulcer about tissue repair and wound healing. Which of the following statements by the patient indicates that teaching has been effective?
A) "I'll limit my intake of protein." B) "I'll make sure that the bandage is wrapped tightly." C) "My foot should feel cold." D) "I'll eat plenty of fruits and vegetables."
A patient is diagnosed with hyperthyroidism. The nurse should expect clinical signs and symptoms similar to:
A) Hypovolemic shock B) Sympathetic nervous system stimulation C) Benzodiazepine overdose D) Addison's disease
What is intrinsic motivation directly related to?
A) Motivation enhanced by job environment B) Motivation enhanced by external rewards C) Motivation related to a person's level of aspiration D) Occurs after the work is completed
Genetic testing has revealed a situation of misidentified paternity. How should the health care team plan to address this issue?
1. Do not reveal this information. 2. Discuss the information with the mother alone. 3. Privately tell the man he is not the child's father. 4. Do not report any genetic screening results as they are incomplete.