The nurse is caring for a client who is in the end stages of lung cancer and is receiving hospice care. The day before the first visit, the client is discharged from the hospital with IV pain medication
At the first visit, the nurse will assess intake and output and signs of reaction to the therapy. This will include
A) assessment of the infusion site, operation of the infusion pump, care of the access site, and signs of infection.
B) assessment of the infusion site, operation of the infusion pump, care of the access site, signs of infection, and allergic response.
C) assessment of the infusion site, operation of the infusion pump, care of the access site, signs of the infection, allergic response, and fluid overload.
D) assessment of the infusion site, operation of the infusion pump, care of the access site, signs of the infection, allergic response, fluid overload or dehydration, and other signs of complications.
D
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The nurse is caring for a 2-month-old infant who has been diagnosed with acute heart failure. The nurse is providing teaching about nutrition. Which of the following statements by the mother indicates a need for further teaching?
A) "The baby may need as much as 150 calories/kg/day.". B) "Small, frequent feedings are best if tolerated.". C) "I need to feed him every hour to make sure he eats enough.". D) "Gavage feedings may be required for now.".
A nurse needs to have a thorough understanding of the musculoskeletal system to be able to care for clients with disorders of the musculoskeletal system. How is most of the heat in body generated?
1 . Involuntary muscle activity 2 . Cellular muscle activity of ATP 3 . Oxygen 4 . Carbon dioxide A) 1, 3 B) 1, 4 C) 2, 3 D) 2, 4
A nurse is caring for a client in a healthcare facility. Which intervention by the nurse would help with continuity of care?
A) Ensure that the client interacts with the other caregivers. B) Ensure that other care providers are assigned night shifts. C) Ensure that the client's family interacts with other caregivers. D) Document information on the client's appearance, behavior, and responses.
Which scenario best illustrates scapegoating within a family?
a. The identified patient sends messages of aggression to selected family members. b. Family members project problems of the family onto one particular family member. c. The identified patient threatens separation from the family to induce feelings of isolation and despair. d. Family members give the identified patient nonverbal messages that conflict with verbal messages.