A nurse is interviewing a 28-year-old, married, female client who works as a schoolteacher. She has just had her first child. The nurse documents that she is successfully passing through which of Erikson's developmental stages?
A) Industry versus inferiority
B) Identity versus role confusion
C) Intimacy versus isolation
D) Generativity versus stagnation
C
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A home care nurse is applying an Unna boot on a client with a stasis ulcer. Which statement will the nurse include when providing client education regarding this therapy?
A) "A nurse will change this dressing every 2 days." B) "It is important that you maintain strict bed rest." C) "The dressing will be applied to the entire length of your leg." D) "The dressing I am applying is semi-rigid."
A 73-year-old patient has just undergone a colostomy for cancer of the colon. The patient tells the nurse the pain is "8" on a scale of 1 to 10 . Which of the following is the expected outcome of the nursing care for this patient?
a. The patient states the pain is "4" on a scale of 0 to 10. b. The patient verbalizes satisfaction with the level of pain and pain control. c. The patient does not ask for pain medication. d. The patient self-medicates with an over-the-counter medication.
A patient, with a draining enterocutaneous fistula, is developing skin breakdown around the opening of the fistula. Which of the following should the nurse do to reduce this patient's risk of further skin injury?
1. consult an enterostomal nurse for wound and skin care 2. use gauze pads to wick the drainage away from the fistula opening 3. use an abdominal binder to secure gauze pads over the fistula opening 4. keep the wound open to air and permit the draining to air dry
During morning rounds the nurse notes that a client is packing clothing and personal items in preparation for leaving the hospital. What should the nurse do with the signed against medical advice form?
1. Place it on the client's medical record 2. Fax it to the healthcare provider's office 3. Send it to the Risk Management department 4. Send a copy to the organization's legal department