A nurse is caring for a 64-year-old patient who has survived cardiopulmonary resuscitation after a triple coronary artery bypass graft surgery. To help this patient cope with this experience, what is the best thing for the nurse to do?
a. Recommend that the patient not discuss the experience with family.
b. Assume that the near death experience was a positive experience.
c. Explain that people who have not had that experience will not understand.
d. Explore what happened with the patient.
D
After patients have survived a near death experience (NDE), promote spiritual well-being by re-maining open, giving patients a chance to explore what happened, and supporting patients as they share the experience with significant others. Patients who have an NDE are often reluctant to discuss it, thinking family or caregivers will not understand. Isolation and depression often occur. Furthermore, not all NDEs are positive experiences. However, individuals experiencing an NDE who discuss it openly with family or caregivers find acceptance and meaning from this powerful experience.
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Appropriate nursing actions for a client with dyspnea would include which of the following?
a. auscultating lungs every 4 hours b. closing privacy curtains or room doors at all times c. including regular periods for exercise d. placing the client in the Sims' position
The older adult patient is quite ill and confused and begins to cry pitifully when the nurse approaches the bed to start an IV. The best action for the nurse at this point would be to:
1. keep the infusion equipment out of sight as much as possible, talk slowly, and divert the patient. 2. inform the patient that the doctor has ordered the IV and calmly continue to pre-pare the site and start the IV. 3. give an analgesic as ordered, wait a few minutes, and then proceed. 4. restrain the patient's arm to a padded arm board and proceed as directed.
A patient reports to the emergency room nurse that she is 10 weeks pregnant, with unilateral pelvic pain, shoulder pain, and faintness. Her color is pale, she is diaphoretic, and her heart rate is 140 bpm. What is the nurse's priority action?
a. Initiate an ordered IV of lactated Ringer's at 200 mL/hr. b. Take the patient for her ordered pelvic ultrasound. c. Ask the patient if she has had any recent vaginal bleeding. d. Ask the patient if she has ever been told she has had salpingitis.
Instructions for a mother who plans to bottle feed her infant should include that:
a. After the baby is 1 month of age, the bottle can be propped with the infant on his or her side. b. While the formula is being given, the infant should be held close and cuddled. c. Formula left in the bottle can be saved for the next feeding. d. Formula in a bottle should always be heated before feeding.