Guaranteed Pass ||Complete A+ Guide
Priority Nursing Diagnosis for Severe Depression - Correct Answer ✔✔Identify safety as the
priority focus for nursing diagnosis.
Cognitive Development in 10-Year-Olds - Correct Answer ✔✔Ability to think logically in
organizing facts.
Generalized Seizure Intervention - Correct Answer ✔✔First action: Place the child on the side.
Anhedonia in Depression - Correct Answer ✔✔Refers to lack of enjoyment in usual pleasures.
First Nursing Action Post Lung Resection - Correct Answer ✔✔Suction excessive
tracheobronchial secretions.
Significant Finding in Panic Disorder Assessment - Correct Answer ✔✔Sense of impending doom
is most significant.
Initial Action for Toddler Clinging to Mother - Correct Answer ✔✔Explain that this behavior is
expected.
Altered Growth and Development Risk in Confined Illness - Correct Answer ✔✔At risk for
dependence in growth and development.
Playroom Activities for 7-Year-Olds - Correct Answer ✔✔Organize sports and games with rules.
Dietary Advice for Adolescent with Acne - Correct Answer ✔✔Recommend 'Eat a balanced diet
for your age.'
Determining AIDS in Addition to Positive HIV Test - Correct Answer ✔✔CD4 lymphocyte count
less than 200 indicates AIDS.
Appropriate Action Post Tonsillectomy and Adenoidectomy - Correct Answer ✔✔Observe
swallowing patterns.
Normal Emotional Reaction in Late Pregnancy - Correct Answer ✔✔Anticipation of the birth is a
normal emotional reaction.
Effective Method to Remove Respiratory Secretions - Correct Answer ✔✔Increasing oral fluid
intake to 3000 cc per day.
Toddler Requiring Further Follow-Up - Correct Answer ✔✔A 30-month-old only drinking from a
sip cup.
, Teaching Insulin Injection Techniques - Correct Answer ✔✔Best strategy: Observe a return
demonstration.
Highest Priority Nursing Intervention for Thrombophlebitis - Correct Answer ✔✔Elevate leg on 2
pillows as the highest priority.
Child Least Likely to Experience Cardiac Arrest - Correct Answer ✔✔Child with prolonged
hypoxemia is least likely.
Referral for Client with Difficulty Drawing Insulin - Correct Answer ✔✔Refer to an occupational
therapist from the community center.
Priority Goal of Involuntary Hospitalization - Correct Answer ✔✔Protection from self-harm and
harm to others.
Recommended Exercise for Long Leg Cast - Correct Answer ✔✔Recommend isometric exercises
for the affected extremity.
Loss of consciousness - Correct Answer ✔✔Immediate reporting instruction while awaiting
surgery
Intravenous Pyelogram (IVP) - Correct Answer ✔✔Preparation includes administering a laxative
Vaginal delivery - Correct Answer ✔✔Ruptured membranes for 36 hours, priority nursing
diagnosis is risk for infection
Hypospadias circumcision - Correct Answer ✔✔Delay for foreskin use in surgical repair
Amyotrophic Lateral Sclerosis (A.L.S.) - Correct Answer ✔✔Late stages exhibit shallow
respirations
Lithium carbonate side effects - Correct Answer ✔✔Nausea, metallic taste, hand tremors
expected to subside
Hemoglobin and hematocrit follow-up - Correct Answer ✔✔Ask about bleeding or dark stools
Percutaneous transluminal coronary angioplasty (PTCA) - Correct Answer ✔✔Procedure
compresses plaque to improve blood flow
Acute glomerulonephritis (AGN) child - Correct Answer ✔✔Appropriate nursing intervention is
to institute seizure precautions
Lidocaine infusion calculation - Correct Answer ✔✔60 microdrops/minute rate for 4 mgm of
Lidocaine