In which of the following patients has the order of priorities for nursing diagnoses changed? Select all that apply
A) a patient in a long-term care facility who had a stroke
B) a patient who is recovering from a broken leg
C) a patient who insists on using the bathroom instead of a bedpan
D) a patient who appears confused after taking pain medication
E) a pregnant patient whose contractions are progressing as anticipated
F) a patient who has wounds that require stitches as well as a concussion
A, C, D, F
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The nurse recognizes that an example of a person who is heritage consistent would be a:
a. Woman who has adapted her clothing to the clothing style of her new country. b. Woman who follows the traditions that her mother followed regarding meals. c. Man who is not sure of his ancestor's country of origin. d. Child who is not able to speak his parents' native language.
You are caring for a patient with abruptio placentae. Your assessments will include looking for signs and symptoms of
A) acute respiratory distress syndrome. B) disseminated intravascular coagulation. C) amniotic fluid embolism. D) all of the above.
Vascular volume increases by 45% to 50% during pregnancy to:
a. compensate for decreased renal plasma flow. b. provide adequate perfusion of the placenta. c. eliminate metabolic wastes of the mother. d. prevent maternal and fetal dehydration.
Diagnostic imaging and physical assessment have revealed that a patient with peptic ulcer disease has suffered a perforated ulcer
The nurse recognizes that emergency interventions must be performed as soon as possible in order to prevent the development of what complication? A) Peritonitis B) Gastritis C) Gastroesophageal reflux D) Acute pancreatitis