Author Question: Based only on Maslow's Hierarchy of Needs, which nursing diagnosis should have the highest priority? ... (Read 38 times)

sdfghj · **on:** Jul 23, 2018

Based only on Maslow's Hierarchy of Needs, which nursing diagnosis should have the highest priority?

a. Self-Care Deficit
b. Risk for Aspiration
c. Impaired Physical Mobility
d. Functional Urinary Incontinence

Question 2

The nurse and nursing assistive personnel (NAP) are caring for a group of patients on the medical-surgical floor. For which of the following patients can the nurse delegate to the NAP the task of bathing? Select all that apply.

a. 75-year-old patient newly admitted with dehydration
b. 65-year-old patient hospitalized for a stroke, whose blood pressure reading is 189/90 mm Hg
c. 92-year-old patient with stable vital signs who was admitted with a urinary tract infection
d. 56-year-old patient with chronic renal failure who has vital signs within his normal range

zenzy · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Highest priority is given to problems that are life threatening or that could be destructive to the client. Safety is most basic in Maslow's hierarchy. Even though Risk for Aspiration is not an actual problem, it poses the most immediate life-threatening risk to the client; nursing interventions must be performed to prevent it from becoming an actual problem.

Answer to Question 2

A, C, D
The nurse should not delegate bathing of a client newly diagnosed with a stroke whose blood pressure is unstable or otherwise abnormal. This client requires the keen assessment and critical thinking skills of a registered nurse. The nurse can safely delegate the care of stable clients, such as the client admitted with dehydration, the client admitted with a urinary tract infection, or the client with chronic renal failure. Any client who is very ill or who requires complex decision making should be cared for by a registered nurse.