The nurse is caring for a patient who has just had coronary artery bypass grafting and is experiencing significant hypotension. What nursing assessment would best confirm that the hypotension is related to blood loss?
A) Low hemoglobin and hematocrit, with high central venous pressure
B) Chest tube drainage in excess of 200 mL/hr
C) Urine output 40 to 50 mL/hr
D) Chest tube drainage less than 30 mL/hr
B
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The nurse is conducting a class for a group of pregnant clients. Which topics should the nurse include when teaching this group about safety of the fetus?
A) Pedestrian accidents B) Suffocation in the crib C) Alcohol consumption D) Drowning
Adult patients are adult learners. Knowing this, you understand there are assumptions about adult learners that will help you plan the education you provide. Which of the following statements is not an assumption about adults as learners?
a. Adults will learn as they develop needs that they believe learning will fulfill. b. Adults use their lives as the point of reference for all learning. c. Adults learn best from the experiences of others. d. Adults prefer to be self-directed in learning or at the very least have a say in it.
At the completion of a teaching session, the nurse wants to evaluate the effectiveness of instruction. In a situation where the client was learning a bandaging technique, which would be the most effective evaluation?
1. Shared by the nurse and client 2. A return demonstration by the client 3. When the nurse is satisfied that the client can complete the technique 4. If the wound heals
As has been his habit for as long as he can recall, the client has a pattern of unconsciously answering questions with half-truths that portray him in a positive light. When the client engages in this way with his psychotherapist, he is exhibiting what?
A) Delusions B) Resistance C) Countertransference D) Parataxis