A nurse who has spent an hour with a highly anxious patient shares with a peer, "I'm really feeling uptight! I need a quiet place to be alone.". This can be attributed to:
a. hypersensitivity on the nurse's part.
b. anxiety resulting from the patient contact.
c. fatigue from the effort of establishing a relationship.
d. a threat to the nurse's self-esteem created by a difficult patient.
B
Anxiety is communicated interpersonally. Just as patients can become more anxious when the nurse is anxious, so too can nurses experience anxiety that has been transmitted by the patient.
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The client has been pushing for two hours, and is exhausted. The physician is performing a vacuum extraction birth. What finding is expected?
1. The head is delivered after eight pulls during contractions. 2. A bruise is present on the occiput that does not cross the suture line. 3. The location of the vacuum is apparent on the fetal scalp after birth. 4. Positive pressure is applied by the vacuum extraction during contractions.
A patient's burns are estimated at 36% of total body surface area; fluid resuscitation has been ordered in the emergency department. After establishing intravenous access, the nurse should anticipate the administration of what fluid?
A) 0.45% NaCl with 20 mEq/L KCl B) 0.45% NaCl with 40 mEq/L KCl C) Normal saline D) Lactated Ringer's
A client calls the clinic and says, "I have been taking Imodium (loperamide) for diarrhea, but it isn't helping." How should the nurse respond?
1. "Are you taking it after every episode of diarrhea?" 2. "Imodium is not effective against diarrhea." 3. "This medication may make you sleepy." 4. "You may have to take the maximum dose for 2 or 3 days before diarrhea slows." 5. "You should come in for assessment."
The nurse in a particular community decided that the number one priority was to decrease the number of teenage smokers. In looking at possible evaluation approaches, what should the nurse measure first?
A. Percentage of teenagers in the community who currently smoke B. Teenagers' attitudes toward smoking C. Teenagers' feelings about smoking D. Teenagers' knowledge about the dangers of smoking