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NCLEX Practice Questions: Quiz 453

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A nurse in the intensive care unit (ICU) is caring for a client with sepsis who is on a mechanical ventilator (MV). The client is exposed to the noise of the MV, monitoring equipment, and infusion pump alarms during the day and night. What should the nurse identify as the priority nursing diagnosis (ND)?
- 1. Anxiety
- 2. Disturbed sleep pattern
- 3. Powerlessness
- 4. Risk for acute confusion

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