The nurse responds to an alarm on a pulse oximeter and sees the patient's oxygen saturation is reading 38%. The nurse observes the patient, noting a respiratory rate of 12 breaths per minute, pink mucous membranes, and easy regular respirations
The nurse concludes the pulse oximeter is not reading accurately. Whose theory of nursing is this nurse demonstrating?
1.
Annie Goodrich
2.
Lillian D. Wald
3.
Florence Nightingale
4.
Linda Richards
ANS: 3
Florence Nightingale promoted treating the patient based on the patient's individual needs rather than treating the disease or, in this case, the machinery.
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An elderly client has been admitted to a health care facility with a fractured arm and the nurse has to help the client change from a hospital gown into his own clothing. How should the nurse ensure the client's comfort?
A) Clothes should be pulled on over the head. B) Clothes should have front zippers. C) Clothes should have front hooks. D) Clothes should have small buttons.
A client is seeing a psychotherapist for the treatment of arachnophobia. Her therapist decides to use the technique of "flooding." Which intervention best exemplifies this technique?
A) A system of rewards for demonstrating a decrease in fear of spiders B) Use of a 1-hour audiotape that describes being in a room full of spiders C) A visit to an insect zoo with the psychotherapist D) Self-paced computer program presenting progressively more anxiety-producing scenarios regarding spiders
The nurse cares for a client who requires hemodialysis and has an arteriovenous fistula. Which statements will the nurse include when teaching the client safety precautions for the AV fistula? Select all that apply.
A. "Keep the AV fistula dry and avoid washing with soap." B. "Do not wear constrictive clothing or jewelry." C. "Avoid lifting heaving objects with the extremity that has the AV fistula." D. "Avoid lying on the extremity with the AV fistula." E. "Immediately report swelling or discoloration."
To promote recovery, which of the following would be most important for a nurse to keep in mind when establishing a nurse–client relationship with a client who has schizophrenia?
A) The relationship typically develops over a short period of time. B) Decisions about care are the responsibility of an interdisciplinary team. C) Short, time-limited interactions are best for a client experiencing psychosis. D) Typically, clients with schizophrenia readily engage in a therapeutic relationship.