Which nursing diagnosis takes highest priority for a client with hyperparathyroidism?

Correct Answer: B

Rationale: Among the listed nursing diagnoses, the highest priority for a client with hyperparathyroidism would be addressing the risk for impaired skin integrity. This is because hyperparathyroidism can lead to increased levels of calcium in the blood, which can result in skin issues such as edema (swelling), skin fragility, and poor wound healing. Addressing this risk is crucial to prevent skin breakdown, infections, and other complications associated with compromised skin integrity. Proper wound care, skin protection measures, and monitoring for any skin changes are essential in managing this priority nursing diagnosis for a client with hyperparathyroidism.

Correct Answer: A

Rationale: Acute bronchial obstruction due to airway swelling and constriction is a major cause of death in anaphylaxis.

Correct Answer: D

Rationale: More than 2 exacerbations per year suggest suboptimal asthma control, requiring reassessment of management strategies.

Correct Answer: B

Rationale: Isolated systolic hypertension is characterized by elevated systolic blood pressure (SBP) with normal diastolic blood pressure (DBP). In this case, if the systolic BP is elevated and the diastolic BP is normal, the nurse would recognize this pattern as indicative of isolated systolic hypertension. This condition is more common in older adults and is associated with aging and stiffening of the arteries. Patients with isolated systolic hypertension are at an increased risk of cardiovascular events, so it is important to monitor and manage their blood pressure appropriately.

Correct Answer: D

Rationale: Cardiomyopathy is not a complication of neonatal jaundice. The primary risks associated with jaundice, particularly if untreated, include kernicterus, neurological damage, and hearing loss.