Which should the nurse expect to be problematic for a family whose religious affiliation is Jehovah's Witness?
a. Immunizations
b. Autopsy
c. Organ donation
d. Blood transfusion
D
Jehovah's Witness believers are opposed to blood transfusions. They may accept alternatives to transfusions, such as nonblood plasma expanders; they can make individual decisions about autopsy. Christian Science believers may seek exemption from immunizations. Believers in Islam are opposed to organ donation.
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The nurse manager has asked that another staff nurse position be funded for the unit. The supervisor denies the request
Which statements by the manager are examples of negative assertion? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "I know I haven't been too careful in keeping personnel costs low, but we are really going to need another position." 2. "I don't see why another position cannot be funded. We have met our budget each year for the last 3 years." 3. "I realize that my staff is not always positive about organizational changes, but having this extra staff member might reduce some of their stress." 4. "I can understand what you said about budget being tight, but we still need the position." 5. "Do you not understand how hard my nurses are working?"
A 70-year-old woman with a diagnosis of benign paroxysmal positional vertigo (BPPV) is receiving teaching from her physician about her diagnosis
The client is eager to avoid future episodes of vertigo and has asked the physician what she can do to prevent future episodes. How can the physician best respond? A) "Unfortunately there aren't any proven treatments for your condition." B) "There are some exercises that I'll teach you to help reorient your inner ear and prevent vertigo." C) "Although they involve some risks, there are some options for ear surgery that can prevent future vertigo." D) "We usually don't actively treat BPPV unless it starts to affect your hearing."
A client has suffered damage to his pericardium following a motor vehicle accident. Which consequence could be a possible complication of damaged pericardium that his care providers should assess for?
A) Impaired physical restraint of the left ventricle B) Increased friction during the contraction/relaxation cycle C) Reduced protection from infectious organisms D) Impaired regulation of myocardial contraction
A patient is diagnosed with valvular heart disease after experiencing rheumatic heart fever. The nurse understands this disorder is caused by what action?
1. molecular mimicry 2. release of hidden antigens into the circulation 3. biologic changes that cause self-antigens to produce autoantibodies 4. autoimmune response by slow-growing mycobacteria