The nurse is caring for a 13-year-old boy with acute myelogenous leukemia who is experiencing feelings of powerlessness due to the effects of chemotherapy. Which of the following interventions will best help the teen's sense of control?
A) Involving the boy in decisions whenever possible
B) Acknowledging the boy's feelings of anger with the disease
C) Providing realistic expectations of treatments and outcomes
D) Recognizing abilities that are unaffected by the disease
A
Feedback:
Involving the boy in the decision-making process will best help his sense of control. Whether he is included in important decisions about therapy or minor decisions like menus or dress, it will give him a sense of control over his situation. Acknowledging feelings of anger, recognizing his abilities, and providing realistic expectations will reduce body image disturbance and build self-esteem.
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Agnes informs you that she has been having respiratory problems and skin irritation since she started working on your unit. What question should you pose to Agnes in order to assess why she is experiencing these symptoms?
a. Are you allergic to latex gloves? b. Have you been very anxious lately? c. Have you been using alcohol swabs? d. Where did you work before coming here?
You are the ICU nurse caring for a patient with multiple organ dysfunction syndrome due to shock. What is a critical part of your role?
A) Providing information and support to family members B) Preparing the family for a long recovery process C) Educating the patient regarding the use of supportive fluids D) Demonstrating necessary skills for the rehabilitation phase of recovery
A patient has a long history of smoking. He has blood studies done because he is very tired, is short of breath, and just does not feel well. His blood gases reveal the following findings: pH, 7.30; HCO3 27 mEq/L; CO2, 58 mmHg. What is the interpretation of these gases?
a. Respiratory alkalosis b. Metabolic acidosis c. Respiratory acidosis d. Metabolic alkalosis
Normal blood pH is 7.4. It is defined as
a. neutral b. slightly alkaline c. slightly acidic d. highly acidic