NCLEX- SAUNDERS COMPREHENSIVE REVIEW 2023 QUESTIONS WITH COMPLETE ANSWERS ALREADY PASSED AND GRADED A+

the nurse is caring for a patient with a diagnosis of heart failure who suddenly complains about shortness of breath and dyspnea. the nurse should take which immediate action - CORRECT ANSWER elevate the head of the patients bed early sign of hypovolemic shock - CORRECT ANSWER increased pulse rate What should you consider when selecting an answer or determining the order of priority - CORRECT ANSWER using ABCs A-airway B-breathing C-circulation (exception: CPR. then remember CAB- compression, airway, breathing) use maslow hierarchy of needs theory when prioritizing - CORRECT ANSWER 1). basic physiological need 2). safety and security 3). love and belonging 4). self esteem 5). self actualization use the steps of the nursing process to prioritize - CORRECT ANSWER assessment analysis planning implementation evaluation eliminate options that contain closed ended words- - CORRECT ANSWER all, always, every, must, none open-ended words could possible be the correct answer - CORRECT ANSWER may, usually, normal, commonly, or generally look for the umbrella option - CORRECT ANSWER a broad or universal option respect for an individuals right to self-determination - CORRECT ANSWER Autonomy the obligation to do or cause no harm to another - CORRECT ANSWER nonmaleficence the duty to do good to others and to maintain a balance between benefits and harm - CORRECT ANSWER beneficence the duty to do what one has promised - CORRECT ANSWER fidelity obligation to tell the truth - CORRECT ANSWER veracity examples of negligent acts - CORRECT ANSWER medication errors that result in injury to client IV administration errors, such as incorrect flow rates or failure to monitor flow rate, that results in injury to client... pg. 136 instructional directives - CORRECT