A patient receiving chemo treatments reports fatigue, loss of energy, and experiencing an "emotional crisis every day and my hair is falling out" What does the nurse do first to help the patient adapt to body changes?
a. Suggest participation in self-management
b. Encourage the patient to ventilate feelings
c. Help the patient to select a wig or a scarf
d. Encourage the patient to talk to her family
Answer: b. Encourage the patient to ventilate feelings
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The nurse present at the delivery is reporting to the nurse who will be caring for the neo-nate after birth. What information might be included for an infant who had thick meco-nium in the amniotic fluid?
a. The infant needed vigorous stimulation immediately after birth to initiate crying. b. An IV was started immediately after birth to treat dehydration. c. There was no meconium below the vocal cords when they were visualized. d. The parents spent an hour bonding with the baby after birth.
The nurse is preparing to administer digoxin to a client with heart failure. The nurse obtains an apical pulse rate for 1 minute and determines a rate of 52 beats/minute. What is the first action by the nurse?
A) Administer the medication and inform the charge nurse about the rate. B) Withhold the medication and notify the physician of the heart rate. C) Administer atropine to speed the heart rate and then administer the digoxin. D) Administer the medications and then notify the physician.
The nurse is caring for an elderly person with a fractured hip who lives alone. The client may require which of the following types of care after discharge from the hospital?
A) transitional care B) nursing home care C) intermediate care D) retirement center
The secondary survey of a patient with hypotension would begin with the assessment of:
a. blood type. b. level of consciousness. c. number of fractures. d. swallowing ability.