The nurse is caring for a patient who sustained a deep partial-thickness burn injury 36 hours ago. In prioritizing the nursing diagnoses for the plan of care, the nurse will give the highest priority to which of the following nursing diagnoses?
A) Activity intolerance
B) Anxiety
C) Impaired nutrition: less than body requirements
D) Acute pain
D
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The pyrexia response is triggered by the production and release of:
a. prostaglandins. b. endogenous pyrogens. c. hypothalamic enzymes. d. thyroid hormones.
Convert 18 inches/second to an equivalent rate in feet per second
1. 1.5 feet per second 2. 0.66 feet per second 3. 216 feet per second 4. 3.0 feet per second
Before a client became depressed, she was an active, involved mother with her three children, often attending their school functions and serving as a volunteer
She is hospitalized for major depressive episode and now reveals that she feels like an unnecessary burden on her family. Which of the following nursing diagnoses is most appropriate? A) Anxiety related to side effects of medication B) Disturbance of self-concept related to feelings of worthlessness C) Anger related to marital disagreements D) Apathy related to fatigue and sleeplessness
A young girl has just injured her ankle at school. In addition to calling the child's parents, the most appropriate immediate action by the school nurse is to:
a. Apply ice. b. Observe for edema and discoloration. c. Encourage child to assume a comfortable position. d. Obtain parental permission for administration of acetaminophen or aspirin.