Prior to beginning an interview a patient tells the nurse that "it's about time someone paid attention to me." Which technique can the nurse use to diffuse this patient's anger?
A) Ask if the nurse did something to upset the patient.
B) Acknowledge the delay for the interview and try to make amends.
C) Focus on a mental status examination.
D) Respond with empathy.
B
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A patient diagnosed with hyperglycemic hyperosmolar syndrome (HHS) will be started on rehydration fluids. How will the nurse anticipate managing this treatment?
1. Initial treatment will be with rapidly infused lactated Ringer's solution. 2. Once the patient's blood glucose has decreased to around 300 mg/dL, a glucose-containing solution will be used for the remaining hydration. 3. The patient will be encouraged to drink as much fluid as possible. 4. The nurse will monitor the patient's lungs for signs of overload. 5. The fluid used for resuscitation will contain insulin.
A group of nurses is discussing how to choose a graduate program. Which of the following statements would be helpful to the nurses as they decide on a graduate program? (Select all that apply.)
a. "Look at ACEN or CCNE publications.". b. "List your career goals and decide what educational preparation you would need to reach these goals.". c. "Ask yourself how much time you can spend going to school.". d. "Decide whether you are in a position to relocate if the programs you need are not offered in your area.". e. "Choose a graduate program based on where your friends are going to school.".
A patient who has been taking levothyroxine (Synthroid) for 2 months has all of the following conditions. Which condition indicates to the nurse that the drug therapy is effective?
a. Increased thirst b. Daily bowel movement for 1 week c. White blood cell count of 6000/mm3 d. Weight unchanged for the last 3 weeks
The resting heart rate in a healthy person is primarily under the control of which nervous system?
a. Sympathetic b. Parasympathetic c. Somatic d. Spinal