The nurse would identify which nursing diagnosis as being the most appropriate for a client experiencing cognitive deficits, delusions, hallucinations, and impulsivity?
a. Disturbed sensory perception c. Social isolation
b. Disturbed thought processes d. Risk for injury
ANS: B
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Which patient does the nurse classify as facing the highest surgical risk?
a. 40-year-old with hepatitis secondary to past IV drug use b. 83-year-old with medically controlled hypertension c. 6-month-old with congenital heart anomaly and early stage liver disease d. 28-year-old taking anticoagulants secondary to mitral valve prolapse
A patient has suddenly developed shortness of breath and appears to be in significant respiratory distress. After calling the physician and placing the patient on oxygen, which of these actions is the best for the nurse to take when further assessing the
patient? a. Count the patient's respirations. b. Bilaterally percuss the thorax, noting any differences in percussion tones. c. Call for a chest x-ray study, and wait for the results before beginning an assessment. d. Inspect the thorax for any new masses and bleeding associated with respirations.
Sally has been recently diagnosed with rheumatoid arthritis. She wants to know more about it. She comes to you as the clinical educator of the health clinic. What can you tell her?
a. What is it? b. How does it affect the body? c. How is it treated? d. What is the prognosis for Sally?
In the conversion of fractions to decimals, the fraction should be thought of as a
___________problem. A. multiplication B. division C. addition D. subtraction