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In which of the following clients has the order of priorities for nursing diagnoses changed? Select all that apply.

A) A client in a long-term care facility who had a stroke
B) A client who is recovering from a broken leg
C) A client who insists on using the bathroom instead of a bedpan
D) A client who appears confused after taking pain medication
E) A pregnant client whose contractions are progressing as anticipated

1 Answer

6 votes

Final answer:

In the scenarios given, the order of nursing priorities for diagnosis may change for a client who experienced a stroke or appears confused after taking pain medication, as these situations indicate that there might be new or worsening symptoms requiring immediate attention.

Step-by-step explanation:

The question is asking to identify which clients' nursing priorities have changed. Nursing priorities are dictated by the acuity of the client's condition and the potential for their condition to change. These priorities are typically categorized following Maslow's Hierarchy of Needs and the ABCs (airway, breathing, circulation).

In the options provided:

  • Client A who had a stroke may have a change in priority if their condition changes or if they develop new symptoms.
  • Client B who is recovering from a broken leg is less likely to have a change in priority unless there is a complication such as an infection or circulation problem.
  • Client C who prefers using the bathroom may have a change in priorities if this choice reflects a potential for falls or if there is an underlying issue causing this insistence.
  • Client D who appears confused after taking pain medication likely has a change in priority as confusion can denote a potentially serious side effect of the medication.
  • Client E, a pregnant client whose contractions are progressing as anticipated, is not likely to have a change in nursing priorities unless complications arise.

In summary, nursing priorities might change for clients who exhibit new or worsening symptoms. Thus, Clients A and D present scenarios where nursing diagnoses priorities would likely need to be reassessed.

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