A patient diagnosed with heart failure makes the following comments. Which statement requires additional assessment by the nurse?
1. "I still sleep better in a recliner."
2. "I do pretty well as long as I don't try to do too much at one time."
3. "My heart rate runs around 60 to 64 most of the time."
4. "I've gained 4 pounds since yesterday."
Answer: 4
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When questioned by a patient about the difference between palliative care and the services provided by hospice, a nurse explains that palliative treatment
1. Is aggressive, but administered to cure the disease. 2. Is geared toward the patient, family, and their wishes. 3. May be aggressive and is directed at eliminating discomfort. 4. Indicates the patient has fewer than 6 months to live.
The nurse observes a client pacing the floor. The nurse validates an inference when speaking to the client by stating,
a. "You are anxious, so let's talk about it." b. "Let's try some deep breathing to help you relax." c. "You seem anxious. Will you tell me what is going on?" d. "Clients who pace usually need to talk to a physician. Should I call yours?"
Identify the most important factor in the initial negotiation of a contract
a. Discussion of the important issues b. Posturing and showmanship c. Resolution of key conflicts d. Lack of willingness to negotiate
The school nurse is speaking to a group of children in middle school about preventing infection. How can the nurse best explain why it is so important for the children to keep from injuring their skin?
Standard Text: Select all that apply. 1. "Your skin cells are packed together tightly to keep germs out. If you disrupt that barrier, germs can get into your body." 2. "The sweat on your skin discourages germ growth. You don't want to damage the cells that produce sweat." 3. "You shed skin cells all the time, along with the germs on the skin." 4. "If you damage the skin's outer layer, it will never grow back." 5. "The deep layers of your skin have special cells that eat germs."