The parent of a 25-year-old man who has just been found to have a left frontal brain tumor says to the nurse, "At the local hospital, our doctor thought that his headaches were nothing and prescribed an analgesic. If I hadn't insisted on a CT scan, no one would have found the tumor." Which statement by the nurse would be therapeutic?
A. "What's being planned for your son now?"
B. "You and your son are having a very trying time. What's happened since your son's diagnosis?"
C. "These days only the squeaky wheel gets the grease in medicine. Your squeaking was excellent advocacy."
D. "Sounds like you have to be your own health care provider these days — good for you! — but I'm sure your health care provider was following medical protocol."
Ans: B. "You and your son are having a very trying time. What's happened since your son's diagnosis?"
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A young adult is admitted to the hospital experiencing respiratory distress. After assessment, the nurse concludes that the client is in sickle cell crisis. The nurse plans care for the relief of pain because:
1. The red blood cells are numerous. 2. There is painful swelling of the lymph nodes. 3. The sickled cells accumulate in tissue. 4. There is an absence of white blood cells.
Your patient's medical record indicates severe chest trauma and recent onset of subcutaneous emphysema. Upon palpation of the patient's chest, you are most likely to feel
a. beads of air under the skin that pop with the pressure of your fingers, making a crackling sound. b. a hard swollen mass covering the area of trauma. c. air escaping around his chest tube that is being trapped by his bandages. d. air flowing into his subcutaneous tissue as his lungs attempt to reinflate.
A patient complains of left-sided chest pain radiating to the left shoulder. Using the SOAPIER method, a nurse should chart this complaint under the initial
1. S. 2. O. 3. A. 4. P.
Which interventions can the nurse delegate to unlicensed personnel when caring for a client with esophageal cancer? (Select all that apply.)
a. Maintaining intake and output b. Maintaining calorie count c. Administering tube feeding d. Obtaining vital signs e. Teaching changes in daily activities f. Changing the incision dressing