Using Maslow's hierarchy of basic human needs, which of the following nursing diagnoses has the highest priority?

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LPN Nursing Fundamentals Quizlet Questions

Question 1 of 5

Using Maslow's hierarchy of basic human needs, which of the following nursing diagnoses has the highest priority?

Correct Answer: A

Rationale: Maslow's hierarchy prioritizes physiological needs (e.g., breathing) over safety, love, esteem, and self-actualization. Ineffective breathing pattern, evidenced by shortness of breath, threatens oxygenation a fundamental survival need making it the highest priority. Pain-induced respiratory distress could escalate to hypoxia, requiring immediate action like repositioning or oxygen support. Anxiety, while distressing, is a psychological need, lower on Maslow's scale unless it impairs breathing (not indicated here). Risk of injury is a safety concern, important but not immediate unless actualized. Impaired communication affects social interaction, even lower priority, manageable with alternative methods. Breathing's critical role in sustaining life places this diagnosis at the top, demanding swift nursing response to stabilize the patient before addressing less urgent needs, aligning with Maslow's foundational logic.

Question 2 of 5

The main reason a transfusion should be completed in a 4 hour period is that:

Correct Answer: D

Rationale: Blood transfusions must conclude within 4 hours because blood, once removed from refrigeration, risks bacterial growth if left at room temperature too long. Red cells, plasma, and platelets become susceptible to contamination (e.g., from IV lines), potentially causing sepsis. Breakdown of components (e.g., hemolysis) occurs over days, not hours, less urgent than infection risk. Coagulation isn't immediate post-4 hours; it's a slower process unless clotted pre-transfusion. Evaporation isn't plausible blood is sealed in bags. The 4-hour limit, per transfusion standards (e.g., AABB), balances delivery with safety, prioritizing bacterial proliferation prevention, making this the primary reason in nursing practice.

Question 3 of 5

A muscular enlarged pouch or sac that lies slightly to the left which is used for temporary storage of food...

Correct Answer: C

Rationale: The stomach fits this description as a digestive organ for food storage.

Question 4 of 5

What should be done in order to prevent contaminating of the environment in bed making?

Correct Answer: A

Rationale: Avoiding fanning prevents dispersing microorganisms into the air.

Question 5 of 5

If patient asks the nurse her opinion about a particular physician and the nurse replies that the physician is incompetent, the nurse could be held liable for:

Correct Answer: A

Rationale: Slander is oral defamation, like calling a physician incompetent.

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