Which is the correct order of phases a client experiences in the event of a change in body image quizlet?

a. Ptosis and blurred vision
e. Decreased auditory alertness

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Which is the correct order of the nursing diagnostic process?
Which nursing action has the highest priority when preparing to transfer an unconscious client who sustained a head injury from the emergency department?
Which is the correct nursing intervention when assessing a client with anxiety?
Which would be the normal blood pressure of a 12 year old client?

Physiological sxs of sleep deprivation: ptosis, blurred vision, clumsiness, decreased reflexes, slowed response time, decreased reasoning/judgement, decreased auditory/visual alertness, cardiac arrhythmias
Psychological sxs: confused, disoriented, increased sensitivity to pain, irritable, withdrawn, apathetic, agitated, hyperactive, decreased motivation, excessive sleepiness

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3. Increased blood pressure and decreased cardiac output

With aging, narrowing of the arteries causes some increase in the systolic and diastolic blood pressures. Decreases occur in diastolic pressure, diastolic filling, and beta-adrenergic stimulation; increases occur in arterial pressure, systolic pressure, wave velocity, and left ventricular end diastolic pressure. Decreased cardiac output and cardiac reserve decrease the older adult's response to stress. Changes in libido may occur. Testosterone appears to influence the frequency of nocturnal erections; however, low testosterone levels do not affect erections produced by erotic stimuli. There is a loss of skin elasticity. By the age of 60, gastric secretions decrease 70% to 80% of those of the average adult. A decrease in pepsin may hinder protein digestion. There may be a decrease in subcutaneous fat and decreasing body warmth. Some swallowing difficulties occur because older people are susceptible to fluid loss and electrolyte imbalance. This results from decreased thirst sensation, difficulty swallowing, chronic disease, reduced kidney function, diminished cognition, or adverse drug reactions.

4. NANDA-I label, related factor, and defining characteristics

The three-part nursing diagnosis label consists of the NANDA-I label, related factor, and defining characteristics. This format is also known as the problem, etiology, and symptoms (PES) format. The nurse does not document the nursing diagnosis as NANDA-I label, related factor, and etiologies. A related factor is a condition or etiology that gives a context for the defining characteristics. The nurse does not document the nursing diagnosis as NANDA-I label, risk factor, and nursing interventions. A risk for nursing diagnosis uses the risk factor instead of related factor. Nursing interventions are not included in a nursing diagnosis. Therefore, the nurse does not document the nursing diagnosis as NANDA-I label, related factor, nursing interventions.

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Which is the correct order of the nursing diagnostic process?

The nursing process functions as a systematic guide to client-centered care with 5 sequential steps. These are assessment, diagnosis, planning, implementation, and evaluation.

Which nursing action has the highest priority when preparing to transfer an unconscious client who sustained a head injury from the emergency department?

The first priority in any emergency is always an adequate airway. The nurse is involved in clearing the mouth, inserting an oral airway, assisting with intubation, oxygen therapy and assessing continually the patient's respiratory system.

Which is the correct nursing intervention when assessing a client with anxiety?

The nursing interventions for anxiety disorders are: Stay calm and be nonthreatening. Maintain a calm, nonthreatening manner while working with client; anxiety is contagious and may be transferred from staff to client or vice versa. Assure client of safety.

Which would be the normal blood pressure of a 12 year old client?

For toddlers, that tends to be above 98/52 or higher. For kids ages three to five, that tends to be 100/55 or higher, and for kids ages six to twelve, that tends to be 105/66 or higher, but it depends on several factors.