A rare malignancy will require the amputation of an adolescent client's leg. The client refuses the surgery, stating: "I would rather die than have my leg amputated." The nurse plans future interventions based upon what?
1. The knowledge that adolescents are very concerned about body image
2. Concern about need for education regarding the danger of delaying surgery
3. The fact that the parents will have the ultimate decision about surgery
4. Ability of the adolescent to understand medical terminology
Correct Answer: 1
Rationale 1: Adolescents are very concerned about body image and will make decisions based upon peer or media opinion even if it puts their health at risk. The nurse's further interventions should be planned with this thought in mind.
Rationale 2: While the client may need further education, the issues regarding the adolescent's focus on body image should be taken into consideration with every new intervention.
Rationale 3: Even though the parents will make the ultimate decision, the issues regarding the adolescent's focus on body image should be taken into consideration with every new intervention.
Rationale 4: While there may be a problem with the client understanding medical terminology, the issues regarding the adolescent's focus on body image should be taken into consideration with every new intervention.
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A nurse tearfully confides to the head nurse that being assigned to care for eight patients is stressful and overwhelming. What demonstrates the use of a healthy coping mechanism?
a. Writing down long lists of needed interventions before starting the day's work b. Delegating appropriate care assignments to nursing assistants c. Asking a co-worker to take one of her patients d. Asking for the day off
The nurse is preparing medication that is packaged in an ampule. Which are appropriate nursing actions when preparing this medication? Select all that apply
1. Using a filter straw when administering the injection to the client 2. Using gauze when opening the ampule 3. Tapping the neck of the ampule to drop all medication into the body of the ampule prior to opening it 4. Checking the expiration date on the ampule 5. Wiping the container with an antimicrobial prior to opening the ampule
Which action should the nurse implement to prevent pressure ulcer formation in a bedridden client?
A. Assessing serum albumin and transferrin levels B. Measuring the ulcer diameter and depth every shift C. Changing the gauze dressing whenever drainage is observed D. Applying antibiotic ointment to all excoriated skin areas
Positive constructive coping strategies would include all of the following except:
a. use of complementary therapies. b. getting enough rest. c. keeping a journal. d. overeating.