The client is struggling with body image after breast cancer surgery. Which behavior indicates to the nurse that the client is maladaptive?
A. Avoiding eye contact with staff
B. Saying, "I feel like less of a woman"
C. Requesting a temporary prosthesis immediately
D. Saying, "This is the ugliest scar ever"
Answer: A. Avoiding eye contact with staff
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The edges of a client's appendectomy incision are approximated, and no drainage is noted. The nurse documents on the client's wound record that the incision appears to be healing by
a. granulation. b. primary intention. c. secondary intention. d. tertiary intention.
The nurse demonstrates an understanding of mutuality when stating to the client,
a. "Mr. Jones, I think you should go to bed now." b. "Mr. Jones, I would like you to go to bed now." c. "Mr. Jones, I don't think you should sit in the chair." d. "Mr. Jones, I thought we agreed that you would return to bed at this time."
The primary focus of the care provider role for the nurse involves:
a. using the nursing process to provide guidance to the patient in recovery. b. encouraging consumer self-responsibility and emphasizing health promotion/maintenance. c. focusing on increasing satisfaction among professional nurses. d. advancing nursing practice through research.
The nurse is discussing temperature assessing of children with a group of nursing assistants. Which statement is the most accurate about temperature assessment?
A) "A rectal temperature is usually 0.5° to 1° lower than the oral measurement." B) "Tympanic temperatures should not be taken on a child who is sleeping." C) "An axillary temperature usually measures 0.5° to 1° higher than the oral measurement." D) "Rectal temperatures should not be taken on a child with diarrhea."