When the 17-year-old leukemic child says, "I am going to the Mayo Clinic so we can get the correct diagnosis. I do not have leukemia!" the nurse recognizes that the patient is in the Kübler-Ross grief stage of:
a. Bargaining
b. Depression
c. Denial
d. Anger
C
This statement represents the state of denial in that the patient is denying the diagnosis and seeks better information to support the denial.
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The nurse is caring for a patient scheduled for surgery this morning who is not to be given anything orally
The nurse reviews the medication administration record and finds the patient has an important medication due but it is supposed to be given orally. What is the nurse's best action? A) Give the medication with a small sip of water. B) Give the medication via a different route. C) Hold the medication and put a note on the front of the chart for the surgeon. D) Call the ordering health care provider and clarify administration.
The nurse is providing patient teaching prior to discharge. The nurse gives the patient a home care checklist as part of the discharge teaching. What should be included on this checklist?
A) Know signs and symptoms of orthostatic hypotension and how to prevent it. B) Weigh in the morning on alternating days. C) Measure everything you drink. D) Identify heart failure as an acute disease.
A 7-year-old is seen with pauciarticular juvenile arthritis. She notices extreme pain when she wakes in the morning. The best advice you can give her parents would be to
A) have her take 325 mg of aspirin immediately on arising. B) encourage her to take a warm bath each morning before school. C) have her do isotonic exercises until the pain is gone. D) encourage her to remain in bed until the pain is gone.
A patient in a day rehabilitation program has a diagnosis of schizophrenia, is gaining weight as a side effect of medication, and is lonely. Which teaching topics should the nurse identify that would be appropriate for this patient? (Select all that apply.)
1. Coping with stress 2. Finding useful employment 3. Learning recovery strategies 4. Using medications effectively 5. Building social support