During labor, the patient screams at her husband to get out of her sight. The nurse's most appropriate action would be to:
a. encourage the husband to stay.
b. assure the husband that such behavior is normal.
c. remind the patient that the husband wants to help.
d. change the patient's position.
B
During labor the patient frequently becomes angry and outspoken. It is a normal occurrence, but the husband needs to be reassured that such behavior is normal.
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The home health nurse has delivered a patient-controlled analgesia (PCA) pump to a homebound client who is terminally ill. The family members will be taking care of the patient. The priority nursing interventions are to:
A) Teach the family the theory of pain management and the use of alternative therapies. B) Provide family support during this emotional experience. C) Teach the patient and family the operation of the pump, monitoring of the IV site, and the side effects of the medication. D) Teach the family how to use morphine and recognize morphine overdose, and offer spiritual guidance.
A patient with chronic heart failure has begun treatment with epoetin alfa, which she will receive in her own home from a home health nurse. The nurse should teach the patient to supplement this treatment with a diet that is high in
A) iron-rich foods such as beans and leafy green vegetables. B) complex carbohydrates and vegetable-source proteins. C) calcium, such as dairy products, fish and vegetables. D) protein and low in carbohydrates.
The nurse is caring for a client whose respiratory status has declined since shift report. The client has tachypnea, is restless, and displays cyanosis. Which diagnostic test should be assessed first?
A) Arterial blood gases B) Pulmonary function test C) Pulse oximetry D) Chest x-ray
An older adult asks a nurse, "I hear a lot about limiting the amount of fat in my diet and eating a balanced diet. It is confusing. Can you help me understand what a balanced diet for me would be?" The nurse bases a response on which of the following?
a. 10-15% of total calories should be from fat, 30-40% from carbohydrates, and 35-75% from protein b. 20-35% of total calories should be from fat, 45-65% from carbohydrates, and 10-35% from protein c. 45-65% of total calories should be from fat, 20-35% from carbohydrates, and 10-35% from protein d. 20-35% of total calories should be from fat, 10-25% from carbohydrates, and 50-75% from protein