After having a right total mastectomy, the patient confides that her husband has voiced his concern about her "disfigurement." The nurse's most therapeutic response would be:
a. "What a jerk he must be!"
b. "Many husbands feel that way."
c. "I wouldn't worry. He will adjust."
d. "What was your reaction to his state-ment?"
D
Using open-ended and matter-of-fact tactful questions will help the patient express feelings. Op-tion a reflects sympathy; options b and c belittle the patient's feelings.
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Immediately after delivery, the nurse prepares to give the newborn a vitamin K injection. The new father is watching and asks the nurse why the baby is receiving a "shot
" The nurse would explain that vitamin K injections are given to newborn infants to: 1. Activate clotting factors. 2. Break up blood clots. 3. Promote red blood cell function and assist in gas exchange. 4. Promote the production of hemoglobin.
The nurse is reviewing the orders for a patient
and notes a new order for an angiotensin-converting enzyme (ACE) inhibitor. The nurse checks the current medication orders, knowing that this drug class may have a serious interaction with what other drug class? a. Calcium channel blockers b. Diuretics c. Nonsteroidal anti-inflammatory drugs d. Nitrates
A pediatric nurse administers acetaminophen (Children's Tylenol) to patients in the Intensive Care Unit (ICU). The correct dosage based on age is:
Select all answers that apply. A) 0 to 3 months, 40 mg. B) 4 to 11 months, 120 mg. C) 2 to 3 years, 160 mg. D) 4 to 5 years, 200 mg.
A nurse is doing developmental assessments on several children in the day-care setting. Which child indicates a delay in meeting developmental milestones? (Select all that apply.)
1. An 18-month-old toddler who isunable to phrase sentences 2. A 5-year-old who is unable to buttonhis shirt 3. A 6-year-old who is unable to sit stillfor a short story 4. A 2-year-old who is unable to cutwith scissors 5. A 2-year-old who cannot recite herphone number