Which of the following statements by the nursing student is an affirmation?
a. "I must maintain As in school.".
b. "I am human and capable of making mis-takes.".
c. "If I fail at something, the results will be catastrophic.".
d. "If I am not liked by everyone, I am a failure.".
B
Stating, "I am human and capable of making mistakes" is an affirmation or a positive statement concerning the ways we would like to think, feel, or behave. The other statements are self-defeating thoughts.
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The neurological patient's intracranial pressure (ICP) is increasing. A treatment to try and normalize ICP and maintain adequate cerebral perfusion is
A) to drain cerebral spinal fluid (CSF). B) add PEEP to ventilatory settings. C) to administer a loop diuretic. D) to lower the head of the bed to 10 degrees.
The physician prescribes Paroxetine hydrochloride (Paxil) to a client for complaints consistent with depression
When discussing the medication, which of the following statements by the client indicate the need for additional instruction? Select all that apply. A) "I should take this medication before eating my evening meal." B) "I should take this medication with my breakfast." C) "I can drive my car while taking this medication." D) "I may feel tired after taking this medication."
The nurse is assessing the blood pressure of an obese adult. How will the blood pressure reading be affected if the nurse uses the standard cuff?
a. The blood pressure reading will be falsely low. b. The blood pressure reading will be falsely high. c. The systolic reading will be inaccurate, but the diastolic reading will be accurate. d. Cuff size has little effect on blood pressure reading.
The nurse is concerned that a 10-year-old patient injured in a motor vehicle accident may be developing septic shock
Which assessment findings would support this concern? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The heart rate is 120 bpm sustained. 2. The patient has thready peripheral pulses. 3. The patient is crying. 4. Capillary refill is 2 seconds. 5. The patient has diarrhea.