A couple in their sixties has assumed responsibility for raising their two grandchildren ages 9 and 12 because the childrens parents died in a car accident. Which of the following are priority nursing interventions that the nurse can implement to help the grandparents cope with the responsibility of raising their grandchildren?
a. Connecting them with the Grandparents Raising Grandchildren support group
b. Encouraging them by reinforcing how they successfully raised their own children
c. Volunteering to provide respite time for them as needed
d. Assuring them that their stress level will lessen as they gain confidence
Answer: a. Connecting them with the Grandparents Raising Grandchildren support group
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The nurse notes that a patient's blood pressure has been trending lower since admission. Which intervention demonstrates the nurse using information to guide nursing care? Select all that apply.
A) Measuring body temperature B) Measuring intake and output C) Monitoring for blood in stool D) Monitoring for blood in urine E) Monitoring level of consciousness
What is the MOST common cause of atelectasis?
a. A bronchiole becomes blocked with secre-tions, and distal alveoli collapse. b. Alveoli distal to the affected bronchiole become overdistended with trapped air, and they rupture. c. Bronchi within the affected portion of the lung become chronically dilated. d. Pressure inside the affected portion of the lung has become less than the pressure outside the body.
During the aftermath of a disaster, the nurse is assigned to triage incoming injured people. A man shows all the symptoms of a myocardial infarction. What should the nurse do first?
a. Give him a red tag so that he is the next person for the physician to treat. b. Give him a green tag because without a cardiac care unit, the man will not survive. c. Allow him to die with dignity by giving him a black tag. d. Provide care for the man until a physician becomes available.
When a man cannot achieve an erection, the phase of the sexual response in which the man is experiencing difficulty is:
A) refractory phase. B) obligatory phase. C) excitement phase. D) orgasmic phase.