A client's husband made her very angry last week when he forgot their anniversary. This week, the client is still unwilling to discuss this with him because she is afraid she will explode with anger
The nurse should identify the client's means of handling differences as:
A) Attacking.
B) Surrendering.
C) Avoiding.
D) Belittling.
C
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A client with autoimmune idiopathic thrombocytopenic purpura (ITP) has had a splenectomy and returned to the surgical unit 2 hours ago. The nurse assesses the client and finds the abdominal dressing saturated with blood
What action is most important? a. Preparing to administer a blood transfusion b. Reinforcing the dressing and documenting findings c. Removing the dressing and assessing the surgical site d. Taking a set of vital signs and notifying the surgeon
The nurse notices ventricular tachycardia on the heart monitor. When the patient is assessed, the patient is found to be unresponsive with no pulse. The nurse should:
a. treat with intravenous amiodarone or lidocaine. b. begin cardiopulmonary resuscitation and advanced life support. c. provide electrical cardioversion. d. ignore the rhythm since it is benign.
A school-aged child appears to be very brave about having blood drawn, but when the blood is actually being, drawn he begins to cry and pulls away. Which response would best demonstrate an understanding of his needs?
A) "It's okay to cry; I know having your blood tested hurts." B) "I know it hurts, but if you hold still, it will soon be over." C) "Big boys don't cry. Let me see how brave you can be." D) "I will have to hold you down if you can't behave."
Where do you measure Capillary Refill Time?
a. medial aspect of antecubital fossa b. earlobe c. upper part of the chest d. nailbed e. padded area fingertip