The nurse is providing home care for a client with heart failure and pulmonary edema. Which nursing diagnosis should have priority in planning care?

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COPD Patient Care Question Questions

Question 1 of 5

The nurse is providing home care for a client with heart failure and pulmonary edema. Which nursing diagnosis should have priority in planning care?

Correct Answer: B

Rationale: Activity intolerance reflects impaired oxygenation, the most urgent issue in heart failure with pulmonary edema.

Question 2 of 5

The nurse is caring for a 5 year-old child whose left leg is in skeletal traction. Which of the following activities would be an appropriate diversional activity?

Correct Answer: C

Rationale: Hand-held games suit a child in traction, avoiding leg movement while engaging them.

Question 3 of 5

A client who is terminally ill has been receiving high doses of an opioid analgesic for the past month. As death approaches and the client becomes unresponsive to verbal stimuli, what orders would the nurse expect from the health care provider?

Correct Answer: C

Rationale: Maintaining pain control is ethical; responsiveness doesn't alter the need for analgesia.

Question 4 of 5

A newborn presents with a pronounced cephalhematoma following a birth in the posterior position. Which nursing diagnosis should guide the plan of care?

Correct Answer: C

Rationale: Cephalhematoma is benign but alarming; addressing parental anxiety is key.

Question 5 of 5

Which of these tests would the nurse expect to monitor for the evaluation of clients aged 18 and older with poor glycemic control?

Correct Answer: A

Rationale: A1c every 3 months monitors long-term glycemic control in poorly controlled diabetes.

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