University:
Capital University
Course:
Nurs326 | Medical Surgical Nursing
Academic year:

2021
Views:

137

Pages:

11
Author:

hakulap1d

11 О. А 67 year-old client is admitted with substernal chest pain with radiation to the jaw. His admitting diagnosis is Acute Myocardial lnfraction (MI). The priority nursing diagnosis for this client during the immediate 24 hours is А) Constipation related to immobility В) High risk for infection D) Flt1id volume deficit The correct answeг is С: Impaired gas exchange 111. With an alert ot· an internal disaster and the need for beds, the charge 1шrse is asked to list clients who аге potential discharges within the next hour. Which client should the charge nнrse select? А An c\dcrly clicnt who has had tyJJc 2 diabctcs for ovcr 20 ycars, admittcd with diabetio kctoacidosis 24 hoшs ago В) An adolescent admitted the prior night with Tylenol intoxication С) А middle aged client with an internal automatic defibri\lator and complaints of "passing out at нnknown times" admitted yesterday D) А school age child diagnosed with suspected bacteгial meningitis and was admitted at the change of shifts The correct answer is А: An elderly client who has had type 2 diabetes for over 20 years, admitted with diabetic ketoacidosis 24 hoнrs ago