Reality shock refers to the ____
a. Decrease in blood pressure as a result of trauma
b. Dynamic tension between bureaucratic and professional values
c. Electrical current that produces muscle spasm
d. Excellence in professional and organizational care
B
Nurses often experience reality shock, a dynamic tension between bureaucratic and professional values.
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During the examination, offering some brief teaching about the patient's body or the examiner's findings is often appropriate. Which one of these statements by the nurse is most appropriate?
a. "Your atrial dysrhythmias are under control." b. "You have pitting edema and mild varicosities." c. "Your pulse is 80 beats per minute, which is within the normal range." d. "I'm using my stethoscope to listen for any crackles, wheezes, or rubs."
The pediatric nurse is assessing a child who complains of a stomach ache. This is the child's fourth visit to the clinic for the same problem, and there has not been a diagnosis yet. What action by the nurse is best?
A. Ask about child's functioning and development. B. Instruct the mother not to keep the child home from school. C. Obtain a thorough family history from the mother. D. Perform an abdominal exam and document findings.
A patient has just undergone an abdominal aortic aneurysm repair. The patient is pulling at the Foley catheter, nasogastric tube, central line, and abdominal dressing and a wrist restraint is ap-plied after an order is received
Later, the patient reports tingling and numbness in the fingers and hand. Which actions should the nurse take? (Select all that apply.) a. Remove the restraint immediately. b. Remind the patient this will decrease with time. c. Notify the health care provider. d. Medicate the patient for pain. e. Stay with the patient.
A patient complains of having to void frequently, burning on urination, and odorous urine. Based on these assessment findings, the nurse would suspect the patient has which of the following conditions?
A) stress incontinence C) urinary tract infection B) urge incontinence D) lower colon infection