Question 66 Not yet answered Marked out of 1.00 P Flag question Question 67 Not yet answered Marked out of 1.00 P Flag question A 66-year-old female patient with chronic liver disease was referred to a medical ward for admission. On assessment, the patient reported body weakness chronic dyspepsia, anorexia, weight loss and constipation.On physical examination, the nurse identified ascites, ankle edema and palmar erythema . What is the most likely nursing diagnosis for this patient? a. Risk of deficient fluid volume b. Risk of imbalanced nutrition c. Risk of ineffective breathing pattern d. Disturbed thought processes A 26-year-old male conscious patient came to an emergency department with traumatic brain injury secondary to car accident. On physical assessment he has tachycardia, tachypnea, respiratory irregularities, pupilary abnormalities and neurologic deficit. What is the priority nursing diagnosis for this patient? a. Disturbed thought processes b. Ineffective tissue perfusion c. Compromised family coping d. Ineffective breathing pattern

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Question 66 Not yet answered Marked out of 1.00 P Flag question Question 67 Not yet answered Marked out of 1.00 P Flag question A 66-year-old female patient with chronic liver disease was referred to a medical ward for admission. On assessment, the patient reported body weakness chronic dyspepsia, anorexia, weight loss and constipation.On physical examination, the nurse identified ascites, ankle edema and palmar erythema . What is the most likely nursing diagnosis for this patient? a. Risk of deficient fluid volume b. Risk of imbalanced nutrition c. Risk of ineffective breathing pattern d. Disturbed thought processes A 26-year-old male conscious patient came to an emergency department with traumatic brain injury secondary to car accident. On physical assessment he has tachycardia, tachypnea, respiratory irregularities, pupilary abnormalities and neurologic deficit. What is the priority nursing diagnosis for this patient? a. Disturbed thought processes b. Ineffective tissue perfusion c. Compromised family coping d. Ineffective breathing pattern

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Question 66:The most likely nursing diagnosis for the 66-year-old female patient with chronic liver disease is:b. Risk of imbalanced nutritionExplanation: The patient's symptoms of body weakness, chronic dyspepsia, anorexia, weight loss, and constipation, along with physical examination findings of ascites, ankle edema, and palmar erythema, indicate a risk of imbalanced nutrition due to the chronic liver disease affecting the patient's ability to absorb and utilize nutrients properly.Question 67:The priority nursing diagnosis for the 26-year-old male patient with traumatic brain injury secondary to a car accident is:d. Ineffective breathing patternExplanation: The patient's symptoms of tachycardia, tachypnea, respiratory irregularities, pupillary abnormalities, and neurologic deficit indicate a potential for ineffective breathing pattern, which is a priority concern in this emergency situation.

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