1. NURSING PROCESS The nurse's assessment findings include right sided weakness, slurred speech, and dysphagia. The nurse identifies that Mrs. Rusk is at high risk for several problems. 1. In developing the nursing plan of care, which problem has the highest priority? A. Aspiration B. Skin Breakdown C. Altered nutrition D. Self care deficit: Answer: A. Aspiration - Rationale: Aspiration, or the entry of foreign substances such as food or fluids into the lungs, may cause hypoxia or respiratory distress. Therefore, this is the highest priority in establishing the client's plan of care. 2. NURSING PROCESS 2. After establishing priorities, what action should the nurse take next in developing Mrs. Rusk's plan of care? A. Analyze data B. Establish goals C. Complete an assessment D. Implement interventions: