Which client statement alerts the nurse that the stage of depression may have started within the grief process?
a. "I just need to live long enough to see my daughter get married."
b. "I can't seem to stop crying about the diagnosis."
c. "I need to get to the attorney to finish my will."
d. "I am going to see another doctor - this diagnosis is wrong."
Ans: b. "I can't seem to stop crying about the diagnosis."
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The nurse is caring for a patient who has just had a massive myocardial infarction. Which is the priority nursing diagnosis for this patient?
a. Impaired comfort r/t noisy ICU environment and need for frequent monitoring b. Interrupted family processes r/t hospitalization of primary wage earner c. Readiness for enhanced knowledge r/t cardiac rehabilitation options d. Decreased cardiac output r/t weakened cardiac muscle and irregular heartbeat
A patient has been admitted to the medical unit from the emergency department with a peripheral IV in situ and normal saline infusing by gravity. How should the nurse best ensure that the patient's ordered solution infuses at the correct rate?
A) Change from gravity infusion to an electronic IV pump. B) Monitor the patient's IV infusion hourly. C) Label the patient's bag of IV solution with a time-calibrated strip of tape. D) Assess the patient often for signs and symptoms of fluid overload.
The nurse's assessment of the sensation of the peroneal nerve will be performed by pricking the:
A) Skin centered between the great and second toe B) Medial and lateral surface of the sole C) Skin centered between the thumb and second finger D) Top or distal surface of the index finger
Which of the following would you suggest to a pregnant woman who follows a vegetarian diet?
A) Include at least one serving of meat daily. B) Anticipate needing a vitamin B12 supplement during pregnancy. C) Be careful not to eat more than four servings of fruit daily. D) Discontinue a vegetarian diet for the remainder of pregnancy.