Before the insertion of a temporary pacemaker, the nurse should assess the client's (Select all that apply)
a. anxiety level.
b. coping mechanisms.
c. knowledge level.
d. past experience with temporary pacers.
A, B, C
A client getting a temporary pacemaker may well be anxious because of the emergent need for this procedure and because it signifies that the client's heart rate and rhythm is unstable. Assist-ing the client to manage anxiety includes assessing anxiety, knowledge of the procedure, and coping methods. Clients most likely have not had past experiences with temporary pacing; the need for a temporary pacer often precedes a permanent pacemaker.
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The 79-year-old patient with bacterial pneumonia becomes increasingly restless and confused. Temperature is 100° F and pulse, blood pressure, and respirations are elevated since the last as-sessment 6 hours ago
The initial intervention by the nurse should be to: a. take the patient off oral fluids. b. assess oxygen saturation. c. give the ordered mild sedative. d. administer an NSAID for discomfort.
Which type of play should the nurse encourage for a preschool-age child that is hospitalized?
A) Playing an electronic handheld game B) Dressing in the mother's coat to play house C) Turning out the lights to play hide and seek D) Planting flower bulbs that can be watched growing next spring
Your client believes in the Four Noble Truths, which are as follows: life is suffering; suffering is a result of one's desires for pleasure; to stop suffering, one must stop desiring; and the way to stop desiring,
and thus suffering, is to follow the Eightfold Path. Which major religion does your client practice? 1. Buddhism 2. Hinduism 3. Taoism 4. Judaism
The nurse instructs a patient about a newly prescribed antidepressant medication. Which patient statement indicates that teaching has not been effective?
1. "I should expect heartburn and abdominal pain." 2. "I should report itching to the healthcare provider." 3. "I will report any changes in ability to participate in my treatment." 4. "I will contact the healthcare provider if I notice a change in mental functioning."