UPDATE!!!2025/2026|GUARANTEED
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 -
ANSWER elevate the head of the patients bed
Early sign of hypovolemic shock - ANSWER increased pulse rate
What should you consider when selecting an ANSWER or determining the order of priority -
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 - ANSWER 1). Basic
physiological need
2). Safety and security
3). Love and belonging
4). Self esteem
5). Self actualization
1
, Use the steps of the nursing process to prioritize - ANSWER assessment
Analysis
Planning
Implementation
Evaluation
Eliminate options that contain closed ended words- - ANSWER all, always, every, must,
none
Open-ended words could possible be the correct ANSWER - ANSWER may, usually,
normal, commonly, or generally
Look for the umbrella option - ANSWER a broad or universal option
Respect for an individuals right to self-determination - ANSWER autonomy
The obligation to do or cause no harm to another - ANSWER nonmaleficence
The duty to do good to others and to maintain a balance between benefits and harm -
ANSWER beneficence
The duty to do what one has promised - ANSWER fidelity
Obligation to tell the truth - ANSWER veracity
Examples of negligent acts - ANSWER medication errors that result in injury to client
2
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 -
ANSWER elevate the head of the patients bed
Early sign of hypovolemic shock - ANSWER increased pulse rate
What should you consider when selecting an ANSWER or determining the order of priority -
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 - ANSWER 1). Basic
physiological need
2). Safety and security
3). Love and belonging
4). Self esteem
5). Self actualization
1
, Use the steps of the nursing process to prioritize - ANSWER assessment
Analysis
Planning
Implementation
Evaluation
Eliminate options that contain closed ended words- - ANSWER all, always, every, must,
none
Open-ended words could possible be the correct ANSWER - ANSWER may, usually,
normal, commonly, or generally
Look for the umbrella option - ANSWER a broad or universal option
Respect for an individuals right to self-determination - ANSWER autonomy
The obligation to do or cause no harm to another - ANSWER nonmaleficence
The duty to do good to others and to maintain a balance between benefits and harm -
ANSWER beneficence
The duty to do what one has promised - ANSWER fidelity
Obligation to tell the truth - ANSWER veracity
Examples of negligent acts - ANSWER medication errors that result in injury to client
2
