During an initial interview, the client makes this statement: "I don't understand why I have to have surgery, I'm really not that sick or in pain right now." The nurse's best response is:
A)
"I think these are things you should be asking your doctor."
B)
"What kind of questions do you have about your surgery?"
C)
"Have you had surgery before?"
D)
"It's OK to be worried. Surgery is a big step."
B
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A child has recently been diagnosed with leukemia. The child's sibling is expressing feelings of anger and guilt. This reaction by the sibling is:
1. Abnormal; the sibling should be referred to a psychologist. 2. Unusual; the illness doesn't affect the sibling. 3. Unexpected; the cancer is easily treated. 4. Normal; the sibling is affected, too, and anger and guilt are expected feelings.
An elderly client reports difficulty reading and driving, especially at night. He also reports he has difficulty getting up and down his stairs because "they seem to blend together." Which nursing diagnosis is most appropriate for this client?
a. Sensory/perceptual alterations: sensory deprivation related to therapeutic isolation. b. Risk for injury: falls related to declining vision associated with aging. c. Sensory/perceptual alterations: sensory overload related to hospitalization. d. Altered thought processes related to hospitalization and aging.
When the nurse observes small, raised white spots on a newborn infant's chin, nose, and forehead, he or she would document the presence of:
a. Lanugo b. Milia c. Vernix caseosa d. Erythema toxicum
After instructing a client about food allergies, the nurse would determine that additional instruction is needed when the client states that which of the following foods should be avoided?
1. Carrots 2. Peanuts 3. Shellfish 4. Strawberries