When working with a client who is HIV positive, the nurse serves as an educator, teaching about the modes of transmission, and serves as a(n):
a. Advocate, lobbying for AIDS research
b. Counselor, discussing implications of future sexual activity
c. Role model, providing supportive care
d. Policy maker, addressing laws governing privacy rights of HIV-positive persons
C
Nurses must be role models because many HIV-positive patients are stigmatized.
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A patient has been brought to the emergency department with multiple trauma after a motor vehicle accident. After immediate threats to life have been corrected, the nurse and trauma team should:
A) Perform a rapid physical assessment. B) Splint the patient's fractures. C) Perform a detailed physical examination. D) Establish the patient's previous medical history.
The postoperative colostomy ostomate is at risk for loss of fluid volume and electrolyte imbalance. The assessments that indicate such loss are (select all that apply):
1. changing mental status. 2. twitching. 3. poor skin turgor. 4. dry mucous membranes. 5. edema.
The Emergency Department nurse manager is monitoring the budget. Which of the following pieces of information might have the most impact on the budget?
1. There are 14 full-time registered nurses, one patient care assistant, and two secretaries employed on this unit. 2. The nurse manager recently purchased a fax machine and a copy machine, and has requested a new bariatric bed for the unit. 3. The supplier of dressing materials recently increased its prices by 2%. 4. The nurse manager has requested three new wheelchairs and an ultrasound bladder-scanning machine.
Which of the following statements are reflective of barriers to communication? Select all that apply
a. "I see you had a heart attack. Why are you still smoking?" b. "I know you are having pain in your knee. I will check your vital signs before getting your pain medications." c. "The nursing assistant told me you are having back pain. I'll get your pain medication now." d. "Tell me a little more about the chest pain you were having at home." e. "Let's talk about all the possible causes and treatments for chest pain."