A client has just learned of a diagnosis of type 2 diabetes mellitus. The client is anxious about the diagnosis. Which of the following should the nurse assess regarding this client's ability to cope with the new problem? (Select all that apply.)
1. "How do you typically handle problems in your life?"
2. "What helps you when you feel tense?"
3. "Are you still actively employed?"
4. "Who do you talk with when you have a problem?"
5. "Do you take drugs or alcohol when stressed?"
6. "Who is your health insurance carrier?"
1, 2, 4, 5
When clients are coping with a stressful situation, the nurse should assess the client by asking the following questions: Do you take drugs or alcohol in response to stress? Who is most helpful when you need to talk about problems? When crises or problems occur in your life, how do you handle them? What helps you when you feel stressed?" Asking about employment and the name of the client's health insurance carrier will not explain how the client copes with new problems or stress.
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The physician stands in the hallway speaking to the nurses in a loud voice saying, "I don't know why you nurses don't follow the orders I've written. Can't you read?" Which response by the nurse demonstrates assertiveness? (Select all that apply)
1. "You're such a jerk. Lower your voice!" 2. "We are all professionals here and there is no need to shout." 3. "I know you're angry but your behavior is inappropriate." 4. "If you would like to discuss the problem professionally we'll be glad to listen." 5. "If you treat your wife like this I know why you're getting a divorce."
Apgar scores are taken at 1 minute after birth and again at
a. 3 minutes. c. 10 minutes. b. 5 minutes. d. 15 minutes.
The client with chronic obstructive lung disease has oxygen ordered at 1.5 liters per minute via nasal cannula. The client complains of shortness of breath. What action should be taken by the nurse?
A) Increase the oxygen to 3 liters per minute via nasal cannula. B) Encourage the client to breathe more rapidly. C) Lower the head of the client's bed to semi-Fowler's position. D) Have the client breathe through pursed lips.
A patient with esophageal varices is being treated with an esophageal tamponade (Sengstaken-Blakemore) tube. What should be the nurse's priority when caring for this patient?
1. Ensuring that the gastric balloon remains inflated 2. Keeping a pair of scissors at the bedside at all times 3. Keeping the patient sedated and quiet 4. Maintaining the esophageal balloon pressure between 15 and 20 mm Hg