When a patient's personal relationship with family members suddenly becomes very strained, you recognize that the patient is probably experiencing
A) denial.
B) anger.
C) shock.
D) depression.
B
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A patient experienced a 33% TBSA burn 72 hours ago. The nurse observes that the patient's hourly urine output has been steadily increasing over the past 24 hours. How should the nurse best respond to this finding?
A) Obtain an order to reduce the rate of the patient's IV fluid infusion. B) Report the patient's early signs of acute kidney injury (AKI). C) Recognize that the patient is experiencing an expected onset of diuresis. D) Administer sodium chloride as ordered to compensate for this fluid loss.
The nurse is anticipating the arrival of a couple in the labor unit. The couple's 37 week fetus has been determined to have died in utero from unknown causes. What should the nurse include in her plan of care for this family?
A. Allow the family to adjust to the labor unit in the waiting area. B. Place the family in a labor room at the end of the hall and an empty room next door. C. Encourage the father to go home and rest for a few hours. D. Contact the mother's emergency contact person and explain the situation.
What will the nurse expect to find that would indicate a therapeutic effect of acetylcysteine (Mucomyst)?
a. Decreased cough reflex b. Decreased nasal secretions c. Liquefying and loosening of bronchial secretions d. Relief of bronchospasms
The nurse is caring for a patient with severe ankylosing spondylitis. What nursing action would be most appropriate?
a. Administer narcotic analgesics. b. Provide activity every 2 hours. c. Encourage a high-fiber diet. d. Provide tepid tub soaks.