A client has been admitted to a psychiatric unit, following a suicide attempt, for the past few weeks. The client's primary nurse is preparing for the client's discharge and arranging for outpatient care
The client begins to feel anxious about going home. Which phase of the nurse–client relationship that may be the most difficult for the client because anxieties reappear and past losses are reviewed?
A) Pre-interaction
B) Orientation
C) Working
D) Termination
D
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A new mother with a 6-hour-old infant calls the nursing station complaining that her baby is so cold he is shivering. What action by the nurse is most appropriate?
A. Bring warm blankets to wrap the baby in. B. Encourage the mother to feed him a warmed bottle. C. Perform a thorough head-to-toe assessment. D. Set the room temperature higher.
Which body fluid lies in the spaces between the body cells?
1) Interstitial 2) Intracellular 3) Intravascular 4) Transcellular
A client who has been newly diagnosed with leukemia is admitted to the hospital. Avoiding which potential problem takes priority in the client's nursing care plan?
A. Fluid overload (overhydration) B. Hemorrhage C. Hypoxia D. Infection
Which of these heart rates should the nurse document as tachycardia?
a. 80 beats/min b. 90 beats/min c. 100 beats/min d. 110 beats/min