The nursing diagnosis that would have the highest priority in the care of the client who has become comatose following cerebral hemorrhage is which of the following?

Disturbed body image

Risk for unstable blood glucose

Impaired urinary elimination

Ineffective airway clearance

Answer and Explanation

The Correct Answer is D

Choice A reason: Body image is psychosocial, not urgent in coma. Airway is critical. This errors per nursing priorities. It’s universally distinct, lower priority.

Choice B reason: Glucose risk is secondary; airway ensures survival in coma. This misaligns with nursing standards. It’s universally distinct, not immediate.

Choice C reason: Urinary issues rank below airway in comatose priority. This errors per nursing hierarchy. It’s universally distinct, less urgent than breathing.

Choice D reason: Airway clearance is top priority in coma, ensuring oxygenation. This aligns with nursing standards. It’s universally recognized, distinctly life-saving.

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Correct Answer is D

Explanation

Choice A reason: Appendicitis causes abdominal pain, not farmworker symptoms broadly. Pesticide fits, per nursing standards. This errors in symptom match. It’s universally distinct.

Choice B reason: Gastroenteritis lacks dizziness, concentration issues; pesticide covers all. This misaligns with occupational health. It’s universally distinct, incomplete symptom fit.

Choice C reason: Viral illness is vague; pesticide explains farmworker exposure symptoms. This errors per nursing specificity. It’s universally distinct, less likely here.

Choice D reason: Pesticide poisoning causes dizziness, thirst, vomiting, fatigue, headache in farmworkers. This aligns with occupational health standards. It’s universally distinct, accurate.

A. Secondary prevention B. Tertiary prevention C. Primary prevention D. Treatment, but not prevention

Correct Answer is B

Explanation

Choice A reason: Secondary screens; dairy manages osteoporosis. Tertiary fits, per nursing. This errors in level. It’s universally distinct, detection-based.

Choice B reason: Tertiary prevention manages osteoporosis with dairy to prevent worsening. This aligns with public health standards. It’s universally applied, distinctly accurate.

Choice C reason: Primary prevents osteoporosis; dairy treats it. This misaligns with prevention levels. It’s universally distinct, pre-disease focus.

Choice D reason: Dairy is prevention, not just treatment; tertiary applies. This errors per nursing standards. It’s universally distinct, underestimates intent.

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The nursing diagnosis that would have the highest priority in the care of the client who has become comatose following cerebral hemorrhage is which of the following?

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Naxlex Comprehensive Predictor Exams

A migrant farmworker presents to the clinic reporting an acute onset dizziness, intense thirst, vomiting, fatigue, and headache with difficulty concentrating. Which of the following conditions would cause such symptoms?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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