The nurse admits a patient to the postoperative unit following gastric bypass surgery for weight loss.Based on the patient's history,the nurse determines that the priority nursing diagnosis for this patient is:

A) Risk for infection
B) Delayed Surgical Recovery
C) Chronic pain
D) Risk for Deficient Fluid Volume

A person was abducted and raped at gunpoint. The nurse observes this person is confused, talks rapidly in disconnected phrases, and is unable to concentrate or make simple decisions. What is the person's level of anxiety?

A) Weak
B) Mild
C) Moderate
D) Severe

A nurse prepares the plan of care for a 15-year-old adolescent diagnosed with moderate intellectual developmental disorder (IDD) . What are the highest outcomes realistic for this person? (Select all that apply.) Within 5 years, the person will:

A) live unaided in an apartment.
B) obtain employment in a local sheltered workshop.
C) correctly use public buses to travel in the community.
D) independently perform his or her own personal hygiene.
E) complete high school or earn a general equivalency diploma (GED) .

An adult admitted to the hospital after a stroke does not respond to verbal stimuli.What should the nurse do next to try to provoke a response?

A) Apply pressure to the mandible at the jaw.
B) Rub the patient's sternum.
C) Squeeze the trapezius muscle.
D) Gently shake the patient's shoulder.

A patient asks, "What are neurotransmitters? My doctor said mine are imbalanced." Select the nurse's best response.

A) "How do you feel about having imbalanced neurotransmitters?"
B) "Neurotransmitters protect us from harmful effects of free radicals."
C) "Neurotransmitters are substances we consume that influence memory and mood."
D) "Neurotransmitters are natural chemicals that pass messages between brain cells."

The nurse is examining a 3-year-old child who was brought to the emergency department after a fall. Which bruise, if found, would be of most concern?

A) Bruises on the knee
B) Bruises on the elbow
C) Bruises on the abdomen
D) Bruises on both of the shins

The nurse is caring for a patient with a wound. The patient appears anxious as the nurse is preparing to change the dressing. Which action should the nurse take?

A) Turn on the television.
B) Explain the procedure.
C) Tell the patient "Close your eyes."
D) Ask the family to leave the room.