What Is the Priority Nursing Diagnosis for a Patient with Fluctuating

question 2

Multiple Choice

What is the priority nursing diagnosis for a patient with fluctuating levels of consciousness,disturbed orientation,and visual and tactile hallucinations?

• A)Bathing/hygiene self-care deficit,related to altered cerebral function,as evidenced by confusion and inability to perform personal hygiene tasks
• B)Risk for injury,related to altered cerebral function,misperception of the environment,and unsteady gait
• C)Disturbed thought processes,related to medication intoxication,as evidenced by confusion,disorientation,and hallucinations
• D)Fear,related to sensory perceptual alterations,as evidenced by hiding from imagined ferocious dogs

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Definitions:

Cholesterol

A waxy substance found in the blood and cells, necessary for the body but high levels of which can be harmful.

Confidence Interval

A breadth of values, extracted from sample-based statistics, considered likely to enfold the value of an unexplored population parameter.

Resting Heart Rate

The number of heartbeats per minute while an individual is at rest, indicating their basic level of cardiac activity.

Confidence Interval

A span of numbers extracted from sampled information, which is expected to encompass the true value of an unidentified parameter within the population, associated with a specified confidence level.