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:

Operating Activities

Part of cash flow that represents the revenues and expenses directly related to the core business operations.

Financial Statements

A set of formal records that outline the financial activities and position of a business, individual, or other entity, typically comprising the balance sheet, income statement, and cash flow statement.

Statement Of Cash Flows

A financial report that shows how changes in balance sheet accounts and income affect cash and cash equivalents, breaking the analysis down to operating, investing, and financing activities.

Gain

An increase in wealth, assets, or profits, often realized from investments or other financial transactions.