NURSING EXAM QUESTIONS
PAEDIATRIC NURSING
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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An unconscious baby is receiving mechanical ventilation. Which nursing diagnosis takes priority?
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Self-care deficit related to unconsciousness.
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Risk for impaired skin integrity related to immobility.
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Ineffective airway clearance related to the inability to expectorate.
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Imbalanced nutrition:less than body requirements related to inability to swallow.
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Explanation:
Detailed explanation-1: -Ineffective airway clearance is characterized by the following signs and symptoms: Abnormal breath sounds (crackles, rhonchi, wheezes) Abnormal respiratory rate, rhythm, and depth. Dyspnea.
Detailed explanation-2: -Ineffective airway clearance occurs when an artificial airway is used because normal mucociliary transport mechanisms are bypassed and impaired. Nursing assessment and intervention are the keys to maintaining airway patency in the patient with an artificial airway in place.
Detailed explanation-3: -The nurse selects Ineffective Breathing Pattern after validating this patient is demonstrating the associated signs and symptoms related to this nursing diagnosis: Dyspnea.
There is 1 question to complete.